Active NPI
Louise May Gill, MPT
- Physical Therapist
- Ithaca, NY
National Provider Identifier
1275861361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036173-1
- Practice address
- 1001 W Seneca St
Ithaca, NY 14850-3342 - Phone
- (607) 272-5891
- Fax
- (607) 277-2761
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 036173-1 | NY | Primary |
Addresses
Primary practice location
1001 W Seneca St
Ithaca, NY 14850-3342
Mailing address
692 Ridge Rd
Lansing, NY 14882-8898
Phone (908) 202-4145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036173-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1275861361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "692 RIDGE RD",
"city": "LANSING",
"state": "NY",
"postal_code": "148828898",
"telephone_number": "908-202-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W SENECA ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503342",
"telephone_number": "607-272-5891",
"fax_number": "607-277-2761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "LOUISE",
"middle_name": "MAY",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036173-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.