David Brandon Gilliam, PTDPTATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000007423 Issued in TN

Practice address

3810 Central Pike
Suite 102
Hermitage, TN 37076-3494

Phone

(615) 915-5000

Fax

(615) 915-5002

NPI assigned

Nov 3, 2006

Last updated

May 28, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Physical Therapy and Rehabilitation Services LLC

  • Physical Therapist
  • Shelbyville, TN
  • NPI 1861445173
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1487733275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "SUITE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 CENTRAL PIKE",
            "address_2": "SUITE 102",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763494",
            "telephone_number": "615-915-5000",
            "fax_number": "615-915-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "DAVID",
        "middle_name": "BRANDON",
        "credential": "PTDPTATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000007423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4134236",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Lawrence Gerard, L.C.S.W.
• Megan M Gesell, PT
• Manjita Gharti Chhetry
• Jason Michael Gibbs, PH.D.
• Robert Kendall Gillespie, PT
• Gillispie Eye Care PLLC
• James David Gillispie, O.D.
• Brittany Morie Girton Hernandez, CPM-TN
• Amanda Githaiga, CD
• Camelia Godinez

• Physical Therapist in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Physical Therapist in Tennessee

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

Verify at the official NPI Registry.