William L Gillock Jr., MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4808 Issued in OR

Practice address

1801 Highway 99 N
Suite 1
Ashland, OR 97520-9649

Phone

(541) 482-9051

NPI assigned

Jan 4, 2007

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 OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rodney Douglas Stewart, RPT

  • Physical Therapist
  • Ashland, OR
  • NPI 1730148875

  OR

  Medicare reassignment
• Bear Creek Physical Therapy

  • Physical Therapist
  • Ashland, OR
  • NPI 1407044191
  NPD (past)
• Fallon Physical Therapy

  • Physical Therapist
  • Fallon, NV
  • NPI 1861561227
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255488995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HIGHWAY 99 N",
            "address_2": "SUITE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HIGHWAY 99 N",
            "address_2": "SUITE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209649",
            "telephone_number": "541-482-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLOCK",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Marie George
• Mehdi Lee Ghavam, D.M.D.
• Paul W Giancarlo
• Tristan Giannini
• Barrett Gifford, LD
• Sara Glass
• Louie Ann Goldberg, LCSW
• Golden Way Acupuncture
• Golden Way Clinic Inc
• Dana Alison Golden, L.M.T.

• All providers in Ashland, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.