Carol Gilligan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4069 Issued in MN

Practice address

490 Highway 96 W
Suite 300
Shoreview, MN 55126-1960

Phone

(651) 451-3016

NPI assigned

Mar 20, 2007

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Abilities, Inc

  • Clinic/Center
  • Shoreview, MN
  • NPI 1154455616

  Physical Therapist

  Medicare reassignment NPD
• Kids Abilities, Inc.

  • Clinic/Center
  • Hugo, MN
  • NPI 1184948572
  NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053436089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 PARIS AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550828523",
            "telephone_number": "651-451-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 HIGHWAY 96 W",
            "address_2": "SUITE 300",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261960",
            "telephone_number": "651-451-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIGAN",
        "first_name": "CAROL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Kelly Gamm
• Molly Elizabeth Gavett, BCBA
• Generations Women'S Health Center, P.a.
• Geneva Recovery LLC
• Penny Sue Giesbrecht, PSY.D., L.P.
• Tara Gillis, LMFT
• Richard D. Glasow, MD
• Jennifer Lauren Glickstein, COTA/L
• Janice Chua Go, MD
• Brianna Lynne Gohdes, PHARMD, RPH

• Physical Therapist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.