Lynnette Caycee Gilmore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8659 Issued in AZ

Practice address

1485 N Turquoise Dr Ste 220
Flagstaff, AZ 86001-2000

Phone

(928) 774-6626

Fax

(928) 214-3277

NPI assigned

Dec 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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 and National Provider Directory roles.

• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Buckeye, AZ
  • NPI 1467129684
  Medicare reassignment
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1093681033
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1497271431
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1790378941
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Payson, AZ
  • NPI 1497222632
  NPD (past)

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1518296292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DR STE 220",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012000",
            "telephone_number": "928-774-6626",
            "fax_number": "928-214-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 N TURQUOISE DR STE 220",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012000",
            "telephone_number": "928-774-6626",
            "fax_number": "928-214-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 Orchard St W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fircrest",
            "state": "WA",
            "postal_code": "984666610",
            "country_code": "US",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 SW Sedgwick Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "98367",
            "country_code": "US",
            "telephone_number": "360-874-8009",
            "fax_number": "360-874-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "LYNNETTE",
        "middle_name": "CAYCEE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60888704",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518296292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Gilbert, LPC
• Gilkey Family Care PLLC
• Matthew Gilkey, FNP
• Elizabeth Gilmore, CRNA
• Lillian K Gilmore, R.N.
• Cory Matthew Gingold, PA
• Therese Ann Giorsetti, MA CCC SLP
• Brendan P Girschek, MD
• Jonathan S Gleeman, PHARMD
• Sandra Glick-Ridley, MSPT

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.