Active NPI
David Sean Gilmore, PT
- Physical Therapist
- Beavercreek, OH
National Provider Identifier
1093781098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010820
- Practice address
- 2510 Commons Blvd
Suite 240
Beavercreek, OH 45431-3820 - Phone
- (937) 429-8620
- Fax
- (937) 429-8629
- NPI assigned
- Feb 28, 2006
- 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 | PT010820 | OH | Primary |
Addresses
Primary practice location
2510 Commons Blvd
Suite 240
Beavercreek, OH 45431-3820
Mailing address
2510 Commons Blvd
Suite 240
Beavercreek, OH 45431-3820
Phone (937) 429-8620
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 |
|---|---|---|---|
| PT010820 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates of Shelby County Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Sidney, OH
- NPI 1205909066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1093781098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 COMMONS BLVD",
"address_2": "SUITE 240",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313820",
"telephone_number": "937-429-8620",
"fax_number": "937-429-8629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 COMMONS BLVD",
"address_2": "SUITE 240",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313820",
"telephone_number": "937-429-8620",
"fax_number": "937-429-8629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "DAVID",
"middle_name": "SEAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT010820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.