Individual provider Active NPI

Emily Wilson Gilmore, DPT

  • Physical Therapist
  • Mountain BRK, AL
National Provider Identifier
1598005407
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6757 Issued in AL
Practice address
3800 River Run Dr
Suite 102
Mountain BRK, AL 35243-4701
Phone
(205) 970-2350
Fax
(205) 970-2165
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH6757 AL Primary

Addresses

Primary practice location

3800 River Run Dr
Suite 102
Mountain BRK, AL 35243-4701

Mailing address

1100 Beacon Pkwy E
V204
Birmingham, AL 35209-1020
Phone (251) 402-4858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH6757ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Physical Therapy and Wellness LLC Current Accepting new patients
Gilmore Physical Therapy and Wellness LLC Current Accepting new patients
Thrive Physical Therapy and Wellness Helena, LLC Current Accepting new patients
Therapy South, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1598005407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BEACON PKWY E",
            "address_2": "V204",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091020",
            "telephone_number": "251-402-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RIVER RUN DR",
            "address_2": "SUITE 102",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352434701",
            "telephone_number": "205-970-2350",
            "fax_number": "205-970-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "EMILY",
        "middle_name": "WILSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.