Eliza Gilliam, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

15191 Issued in CO

Practice address

107 W 29TH St Ste 100
Loveland, CO 80538-2200

Phone

(970) 663-6142

Fax

(970) 635-3087

NPI assigned

Jul 17, 2023

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 names 1

• Eliza Schmidt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Rebound Sports & Physical Therapy, P.C.

  • Physical Therapist
  • Loveland, CO
  • NPI 1780680926
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1548949381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 29TH ST STE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382200",
            "telephone_number": "970-663-6142",
            "fax_number": "970-635-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 29TH ST STE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382200",
            "telephone_number": "970-663-6142",
            "fax_number": "970-635-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "ELIZA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "15191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZA",
            "last_name": "SCHMIDT",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bea Giffin, LCSW
• Sarvjit Singh Gill, M.D.
• Laura Gillen, LPC
• Alicia Gillespie
• Niamh Elizabeth Gillespie, PA-C
• Rodrigo Gilmoreno de Mora, DPT
• Cassidie Gilson
• Ashley Alyeece Giron Chavez, NP - APN
• GJ Counseling LLC
• Milton S Glatterer Jr., MD

• Physical Therapy Assistant in Loveland, CO
• Providers in Loveland, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.