John Gillam, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01495300 Issued in NJ

Practice address

2200 Wallace Blvd
Suite E
Cinnaminson, NJ 08077-2578

Phone

(856) 829-0015

Fax

(856) 829-0043

NPI assigned

Jan 20, 2015

Last updated

Jan 20, 2015By 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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 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.

• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917
  Medicare reassignment Care Compare group NPD
• East Brunswick Physical Therapy

  • Physical Therapy Clinic/Center
  • East Brunswick, NJ
  • NPI 1518502707

  Physical Therapist

  Medicare reassignment NPD
• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment NPD
• Performance Medical Group of Somerset

  dba Performance Rehabilitation & Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
  • NPI 1780287326
  Medicare reassignment NPD
• Performance Medical of Watchung LLC

  • Physical Medicine & Rehabilitation Physician
  • Watchung, NJ
  • NPI 1518477918
  Medicare reassignment NPD
• Performance Medical Group of Branchburg LLC

  dba Performance Rehabilitation & Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Branchburg, NJ
  • NPI 1679075642
  Medicare reassignment
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Oakhurst, NJ
  • NPI 1659945228
  NPD
• Ivyrehab Network Inc

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1861623753
  NPD
• Ivyrehab Network, Inc.

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

  Physical Therapist

  NPD
• Seashore Pediatric Therapy Center PC

  • Multi-Specialty Clinic/Center
  • Manahawkin, NJ
  • NPI 1396277083
  NPD (past)

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1225427826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 VETERANS MEMORIAL HWY",
            "address_2": "STE 202",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797639",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WALLACE BLVD",
            "address_2": "SUITE E",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772578",
            "telephone_number": "856-829-0015",
            "fax_number": "856-829-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAM",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01495300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friends of Cyrus II Inc
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• Ashley Gerretz, RBT
• Donna Gilbert
• Dawn F Gillespie, LCADC
• Jaime Lynn Gladysz
• Maria J Gonzalez, L.C.S.W.
• Rachel Beth Gordon
• Janine Graham

• Physical Therapist in Cinnaminson, NJ
• Providers in Cinnaminson, 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 Jan 20, 2015; 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.