Active NPI
Gavin C Hillman, DPT
- Physical Therapist
- Henderson, NV
National Provider Identifier
1306139563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2447
- Practice address
- 2050 W Warm Springs Rd
Unit 821
Henderson, NV 89014-5524 - Phone
- (505) 250-8461
- NPI assigned
- May 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 2447 | NV | Primary |
Addresses
Primary practice location
2050 W Warm Springs Rd
Unit 821
Henderson, NV 89014-5524
Mailing address
2050 W Warm Springs Rd
Unit 821
Henderson, NV 89014-5524
Phone (505) 250-8461
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 |
|---|---|---|---|
| 2447 | NV | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1306139563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 W WARM SPRINGS RD",
"address_2": "UNIT 821",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890145524",
"telephone_number": "505-250-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 W WARM SPRINGS RD",
"address_2": "UNIT 821",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890145524",
"telephone_number": "505-250-8461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLMAN",
"first_name": "GAVIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.