Active NPI
Gina Dillard, PT, DPT
- Physical Medicine & Rehabilitation Physician
- Oklahoma City, OK
National Provider Identifier
1003391699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5103
- Practice address
- 721 NW 6TH St
Oklahoma City, OK 73102-1205 - Phone
- (405) 938-8332
- NPI assigned
- Sep 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5103 | OK | Primary |
Addresses
Primary practice location
721 NW 6TH St
Oklahoma City, OK 73102-1205
Mailing address
721 NW 6TH St
Oklahoma City, OK 73102-1205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063823771 | Other | VALIR PACE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5103 | OK | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1003391699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 NW 6TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 NW 6TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021205",
"telephone_number": "405-938-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "GINA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OK",
"license": "5103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALIR PACE",
"identifier": "1063823771",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.