Shawn Ray Gillham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1072882 Issued in TX

Practice address

400 Oaklawn Ave
Corsicana, TX 75110-2937

Phone

(903) 872-5925

NPI assigned

Jun 12, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Male

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LP Physical Therapy LLCGroup PAC ID 9234477837, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.48 of 100Reported as group

Quality

80

Improvement activities

40

Cost

44.93

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LP Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hillsboro, TX
  • NPI 1861964231
  Medicare reassignment Care Compare group NPD
• Coker Rehabilitation Services, Inc

  • Physical Therapist
  • Corsicana, TX
  • NPI 1508892936
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1164464145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751510631",
            "telephone_number": "903-872-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OAKLAWN AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102937",
            "telephone_number": "903-872-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLHAM",
        "first_name": "SHAWN",
        "middle_name": "RAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1072882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Deanne Gallup, D.D.S.
• Gantt Medical, PLLC
• Marti M Gantt, PA-C
• Daphne Garrett
• Jennifer Lynn Gillen
• Jennifer Gilliam
• Adel M Gindy, MD
• Toula M Glass, ANP
• Raja Sekhar Goli, M.D.
• Gwen E Gonzales, COTA

• Physical Therapist in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.