Dalton Sean Gilligan, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01509500 Issued in NJ

Practice address

73 Driftwood Dr
Brick, NJ 08723-5811

Phone

(732) 804-6118

NPI assigned

Sep 6, 2013

Last updated

May 25, 2020By 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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

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.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  Medicare reassignment Care Compare group NPD
• Adaptive Home Therapy, Inc.

  • Occupational Therapist
  • Toms River, NJ
  • NPI 1831192673

  Physical Therapist

  Medicare reassignment NPD
• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment NPD
• Dynamic Gains Physical Therapy

  • Physical Therapy Clinic/Center
  • Livingston, NJ
  • NPI 1639789910
  Authorized official Same address or phone
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD
• Anil K Gupta MD PA

  dba Ocean Heart Center

  • Cardiovascular Disease Physician
  • Toms River, NJ
  • NPI 1669459319
  NPD (past)

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1205261500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 DRIFTWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235811",
            "telephone_number": "732-804-6118",
            "fax_number": "732-886-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 DRIFTWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235811",
            "telephone_number": "732-804-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIGAN",
        "first_name": "DALTON",
        "middle_name": "SEAN",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-06",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01509500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Gibbons, PT
• Lia Gikashvili, MD
• Asim Haider Gilani, MD
• Jordyn Gilanyi, MS, LAC
• Victoria Gilham, DPT
• Kelsey Gilligan, LPC, NCC
• Tucker S Gilligan
• John Girardini, MD
• John H Girges
• Megan Carol Gitto, LAC

• Physical Therapist in Brick, NJ
• Providers in Brick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.