Individual provider Active NPI

Alexander Paul Gilson, PT

  • Orthopedic Physical Therapist
  • Toledo, OH
National Provider Identifier
1578176343
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT018671 Issued in OH
Practice address
3130 Central Park W Ste C
Toledo, OH 43617-1088
Phone
(419) 720-1290
Fax
(419) 720-1291
NPI assigned
Aug 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT018671 OH Primary

Addresses

Primary practice location

3130 Central Park W Ste C
Toledo, OH 43617-1088

Mailing address

27511 Holiday LN Ste 105
Perrysburg, OH 43551-5397
Phone (567) 342-0688

Other practice location 1

753 Michigan Ave
Waterville, OH 43566-4355
Phone (419) 441-4251

Other practice location 2

27511 Holiday Ln Ste 105
Perrysburg, OH 43551-5397
Phone (567) 342-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202002370 OH Practitioner - Physical Therapist in Private Practice 9537570163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Physical Therapy, LLC CurrentSince Sep 28, 2020 Accepting new patients
Holiday Park Physical Rehabilitation PastSince Jul 9, 2023 Accepting new patients

Locations

27511 Holiday Ln
Ste 105
Perrysburg, OH 43551
Phone (419) 873-3488

3130 Central Park W
Ste C
Toledo, OH 43617
Phone (419) 720-1290

753 Michigan Ave
Waterville, OH 43566
Phone (419) 441-4251

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1578176343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27511 HOLIDAY LN STE 105",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515397",
            "telephone_number": "567-342-0688",
            "fax_number": "866-593-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 CENTRAL PARK W STE C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171088",
            "telephone_number": "419-720-1290",
            "fax_number": "419-720-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "753 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "OH",
            "postal_code": "435664355",
            "country_code": "US",
            "telephone_number": "419-441-4251",
            "fax_number": "419-441-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27511 Holiday Ln Ste 105",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435515397",
            "country_code": "US",
            "telephone_number": "567-342-0688",
            "fax_number": "866-593-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILSON",
        "first_name": "ALEXANDER",
        "middle_name": "PAUL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2023-07-05",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT018671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.