Active NPI
Deborah Delan Gilliam, PT
- Physical Therapist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4882
- Practice address
- 200 Doctors Dr
Panama City, FL 32405-4559 - Phone
- (850) 784-7724
- Fax
- (850) 784-4711
- NPI assigned
- May 11, 2015
- 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 | 4882 | FL | Primary |
Addresses
Primary practice location
200 Doctors Dr
Panama City, FL 32405-4559
Mailing address
200 Doctors Dr
Panama City, FL 32405-4559
Phone (850) 784-7724
Other names 1
- Delan T Gilliam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 52.44 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 74.78
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4882 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Orthopedic & Sports Physical Therapy Center LLC | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Orthopedic & Sports Physical Therapy Center LLC | Current | Accepting new patients | |
| South Palm Physical Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
Locations
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
1950 Bluewater Blvd
Ste 101
Niceville, FL 32578
Phone (850) 897-3334
1950 Bluewater Blvd
Ste 100
Niceville, FL 32578
Phone (850) 897-8081
1040 Gulf Breeze Pkwy
Ste 200
Pensacola Beach, FL 32561
Phone (850) 916-8711
Organizations & group practices 5
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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Physical Therapy Clinic/Center
- Niceville, FL
- NPI 1881632008
-
dba NFS Florida Bone and Joint
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Physical Therapy Clinic/Center
- Crestview, FL
- NPI 1700823044
-
- Physical Therapist
- Boca Raton, FL
- NPI 1629071212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1508244674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 DOCTORS DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054559",
"telephone_number": "850-784-7724",
"fax_number": "850-784-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 DOCTORS DR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054559",
"telephone_number": "850-784-7724",
"fax_number": "850-784-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "DEBORAH",
"middle_name": "DELAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "4882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DELAN",
"last_name": "GILLIAM",
"middle_name": "T",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.