Individual provider Active NPI

Dennis B Gillard, PT

  • Physical Therapist
  • Girard, KS
National Provider Identifier
1124100276
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
302 N Hospital Dr
Girard, KS 66743-2000
Phone
(620) 724-5159
Fax
(620) 724-5291
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X KS Primary

Addresses

Primary practice location

302 N Hospital Dr
Girard, KS 66743-2000

Mailing address

405 Woodland Hills Blvd
Fort Scott, KS 66701-8799
Phone (620) 724-5159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061130000406 KS Practitioner - Physical Therapist in Private Practice 3274531181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
I Am Rehab LLCGroup PAC ID 7416297056, 3 clinicians

Practice addresses (Care Compare)

405 Woodland Hills Blvd
Fort Scott, KS 66701-8799
Phone (620) 223-7073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 1 Crawford County CurrentSince Feb 14, 2014 Accepting new patients
Hospital District No 1 Crawford County Current Accepting new patients
I Am Rehab LLC Physical Therapist CurrentSince Jan 2, 2019 Accepting new patients
Hospital District No 1 Crawford County CurrentSince Feb 14, 2014 Accepting new patients

Locations

419 E Washington St
Arma, KS 66712
Phone (620) 347-4711

120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101

405 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-3800

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1124100276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018799",
            "telephone_number": "620-724-5159",
            "fax_number": "620-724-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N HOSPITAL DR",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667432000",
            "telephone_number": "620-724-5159",
            "fax_number": "620-724-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLARD",
        "first_name": "DENNIS",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.