Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gabrielle Wise Loefstedt, PT, DPT

Individual provider Physical Therapist · NPI 1710655261

Gabrielle Wise Loefstedt, PT, DPT is a Physical Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group and accepts Medicare assignment. Licensed in California, Connecticut and Pennsylvania.

Years since qualifying
5
Licensed in
CA, CT, PA
In the registry since
2021
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2908 Island Ave
Philadelphia, PA 19153
Phone: (215) 365-2113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 304011 (CA)
Physical Therapist Taxonomy 225100000X · Licence PT033941 (PA)
Physical Therapist Taxonomy 225100000X · Licence 13283 (CT)

Record details

NPI number1710655261
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 31, 2021
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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