Active NPI
Gilbert M. Willett, P.T., PH.D.
- Physical Therapist
- Council Bluffs, IA
National Provider Identifier
1144434176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 787
- Practice address
- 201 W Broadway
Council Bluffs, IA 51503-9004 - Phone
- (712) 329-9419
- NPI assigned
- May 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 787 | NE | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 1151 | IA |
Addresses
Primary practice location
201 W Broadway
Council Bluffs, IA 51503-9004
Mailing address
503 W Centennial Rd
Papillion, NE 68046-4304
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 787 | NE | MD | Physical Therapist |
| 1151 | IA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1144434176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 W CENTENNIAL RD",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039004",
"telephone_number": "712-329-9419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLETT",
"first_name": "GILBERT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "P.T., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "787",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IA",
"license": "1151",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.