Justine Mary Anton Gillen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002869 Issued in CT

Practice address

500 E Main St
Suite 310
Branford, CT 06405-2911

Phone

(203) 315-7727

Fax

(203) 315-7757

NPI assigned

Dec 29, 2006

Last updated

Mar 1, 2016By the provider in NPPES

Sex

Female

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 3

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.

• Cross Therapy, LLC

  • Physical Therapist
  • Guilford, CT
  • NPI 1376574392
  NPD (past)
• Physical Therapy Center of Madison

  dba Therapeutic Centre

  • Physical Therapist
  • Madison, CT
  • NPI 1609970201
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1548326879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "address_2": "SUITE 310",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052911",
            "telephone_number": "203-315-7727",
            "fax_number": "203-315-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "address_2": "SUITE 310",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052911",
            "telephone_number": "203-315-7727",
            "fax_number": "203-315-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "JUSTINE",
        "middle_name": "MARY ANTON",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "002869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B/C B/S",
            "identifier": "080002869CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2266611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7820314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gene Praxis LLC
• Generations Psychiatry Services PLLC
• Ralph Gesuero
• Margaret Geyser
• Amy Giguere
• Cristina Gioioso-Datta, MD
• Frank John Giordano, MD
• Jacqueline Yale Giordano, M.S. CCC-SLP (CT&NY)
• John J Girald, DMD
• Kathleen A Glynn, OT

• Physical Therapist in Branford, CT
• Providers in Branford, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.