Active NPI
Rex T. Gillim, DPT
- Physical Therapist
- Owensboro, KY
National Provider Identifier
1134551468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006250
- Practice address
- 2831 New Hartford Rd
Ridgecrest Medical Park
Owensboro, KY 42303-1320 - Phone
- (270) 926-4100
- Fax
- (270) 684-4678
- NPI assigned
- Aug 9, 2013
- 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 | 006250 | KY | Primary |
Addresses
Primary practice location
2831 New Hartford Rd
Ridgecrest Medical Park
Owensboro, KY 42303-1320
Mailing address
2831 New Hartford Rd
Ridgecrest Medical Park
Owensboro, KY 42303-1320
Phone (270) 926-4100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1134551468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 NEW HARTFORD RD",
"address_2": "RIDGECREST MEDICAL PARK",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031320",
"telephone_number": "270-926-4100",
"fax_number": "270-684-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 NEW HARTFORD RD",
"address_2": "RIDGECREST MEDICAL PARK",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031320",
"telephone_number": "270-926-4100",
"fax_number": "270-684-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIM",
"first_name": "REX",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-09",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.