Gary Tilton, PTA
Individual provider Active NPI Physical Therapy Assistant · Gorham, NH
NPI 1235378647 · NPPES record last updated Feb 9, 2009
Key facts
- NPI
- 1235378647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0255 (NH)
- Practice address
- 40 Exchange St
Gorham, NH 03581-1604 - Phone
- (603) 466-5972
- Fax
- (603) 466-5974
- NPI assigned
- Feb 9, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0255 | NH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0255 | NH | Yes |
Addresses
Primary practice location
40 Exchange St
Gorham, NH 03581-1604
Mailing address
40 Exchange St
Gorham, NH 03581-1604
Phone (603) 466-5972
Other providers in Gorham, NH
- Charles M Sidell
- Sue Ann Sidell DC
- Susan Martlock-J&S Care Enterprise
- Thomas Temme
- Maria Lynn Therriault
- Town of Gorham
- Sherrill Tracy
- United Podiatry PLLC
- Wal-Mart Stores East LP
- Wal-Mart Stores East, L.P.
All providers in Gorham, NH · Physical Therapy Assistant in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.