Active NPI
Brian Thomas Gill, PT, MSPT
- Physical Therapist
- Fort Washington, PA
National Provider Identifier
1023472354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012153L
- Practice address
- 303 Locust Rd
Fort Washington, PA 19034-1427 - Phone
- (215) 540-1210
- NPI assigned
- Apr 13, 2016
- Last updated
- Sep 25, 2023
- Sex
- Male
- 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 Therapist | 225100000X | PT012153L | PA | Primary |
Addresses
Primary practice location
303 Locust Rd
Fort Washington, PA 19034-1427
Mailing address
303 Locust Rd
Fort Washington, PA 19034-1427
Phone (215) 540-1210
Other practice location 1
1075 Virginia Dr Ste 200
Fort Washington, PA 19034-3108
Phone (215) 619-4545
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012153L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Physical Therapy Specialists LLC | Physical Therapist | Past | Accepting new patients |
| Benchmark Therapies, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Skilled Nursing Facility
- Warminster, PA
- NPI 1831546621
-
- Physical Therapy Clinic/Center
- Moorestown, NJ
- NPI 1023609955
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1023472354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 LOCUST RD",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341427",
"telephone_number": "215-540-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 LOCUST RD",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190341427",
"telephone_number": "215-540-1210"
}
],
"practiceLocations": [
{
"address_1": "1075 Virginia Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Fort Washington",
"state": "PA",
"postal_code": "190343108",
"country_code": "US",
"telephone_number": "215-619-4545",
"fax_number": "215-619-4555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "BRIAN",
"middle_name": "THOMAS",
"credential": "PT, MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-13",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012153L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.