Annie T. Gillespie, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2479 Issued in NM

Practice address

304 N. Richardson Ave.
Roswell, NM 88201-4639

Phone

(575) 578-0069

Fax

(575) 578-0124

NPI assigned

Nov 13, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1003451154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N. RICHARDSON AVE.",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014639",
            "telephone_number": "575-578-0069",
            "fax_number": "575-578-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N. RICHARDSON AVE.",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014639",
            "telephone_number": "575-578-0069",
            "fax_number": "575-578-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "ANNIE",
        "middle_name": "T.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT2479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice William Geldert, O.D.
• Nikollette Gerle
• Ghaffari Medical Pharmacy
• Benjamen Adel Ghebrial
• Jane Marie Gilbreth, MD
• Vernita Rae Gillespie, RD, LD, CDE
• Veronica Gilliland
• Bailey Gladu
• Michelle Glass
• Richard Lee Glenn, D.C.

• Physical Therapist in Roswell, NM
• Providers in Roswell, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.