David Anthony Gillis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4429024 Issued in WI

Practice address

15350 W National Ave Ste 102-219
New Berlin, WI 53151-5158

Phone

(262) 227-8541

Fax

(414) 755-1481

NPI assigned

May 7, 2007

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Column Rehab Services, Inc.

  • Physical Therapist
  • New Berlin, WI
  • NPI 1639226756
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1487867321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 W NATIONAL AVE STE 102",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515158",
            "telephone_number": "262-227-8541",
            "fax_number": "414-755-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 W NATIONAL AVE STE 102-219",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515158",
            "telephone_number": "262-227-8541",
            "fax_number": "414-755-1481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9455 W Watertown Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263559",
            "country_code": "US",
            "telephone_number": "414-257-6310",
            "fax_number": "414-257-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4429024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Geile, M.S CCC-SLP
• Ashley Marie George, D.P.T.
• Madiha Ghaffar
• Alison Kait Gibson, MS-SLP
• Bonit K Gill, DO
• Jamie Schaap Giwa, MSOT
• Lindsey Danielle Goding, M.S., CCC-SLP
• Melanie L Goeckerman, NP
• Golden Care, Inc.
• Rosa Maria Gomez, APNP

• Physical Therapist in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.