Debra Gillis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

RPT 2794 Issued in CO

Practice address

2835 Dublin Blvd
Colorado Springs, CO 80918-1662

Phone

(719) 266-1788

Fax

(719) 264-7706

NPI assigned

Jun 6, 2008

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Manual Physical Therapy, PCGroup PAC ID 4688711351, 8 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.

• Synergy Manual Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1902032998
  Medicare reassignment Care Compare group NPD
• Joint Effort Physical Therapy LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1720023591
  Medicare reassignment NPD
• Joint Effort Physical Therapy LLC

  • Physical Therapist
  • Colorado SPGS, CO
  • NPI 1972109759
  NPD
• Synergy Manual Physical Therapy PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1790193159
  NPD

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1356500185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 DUBLIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181662",
            "telephone_number": "719-533-1318",
            "fax_number": "719-533-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 DUBLIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181662",
            "telephone_number": "719-266-1788",
            "fax_number": "719-264-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "RPT 2794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8655740",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Gilliam, MA, CCC-SLP
• Lynne Gillick, PH.D.
• Carrie Gillies
• Jason R Gillies, D.C.
• Courtney Gillis
• Heather Gillis, CRNA
• Shelbi Gillispie
• Carmyn Gillmore
• Stephanie Paula Gillotte, LPC
• Hopper Desmond Gilman

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.