Active NPI
Ashley Gillis, DPT
- Physical Therapist
- Buchanan, MI
National Provider Identifier
1386227437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 500 E 3Rd St
Buchanan, MI 49107-1404 - Phone
- (269) 409-8626
- NPI assigned
- May 5, 2021
- Last updated
- May 5, 2021
- 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 | MI | Primary |
Addresses
Primary practice location
500 E 3Rd St
Buchanan, MI 49107-1404
Mailing address
818 N Philip Rd
Niles, MI 49120-8741
Phone (269) 362-7542
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1386227437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 N PHILIP RD",
"city": "NILES",
"state": "MI",
"postal_code": "491208741",
"telephone_number": "269-362-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E 3RD ST",
"city": "BUCHANAN",
"state": "MI",
"postal_code": "491071404",
"telephone_number": "269-409-8626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIS",
"first_name": "ASHLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buchanan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.