Individual provider Active NPI

Danielle Evelyn Gill, DPT

  • Physical Therapist
  • Northville, MI
National Provider Identifier
1609439439
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019057 Issued in MI
Practice address
215 E Main St Ste B
Northville, MI 48167-1681
Phone
(248) 349-9339
Fax
(248) 349-9342
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 5501019057 MI Primary

Addresses

Primary practice location

215 E Main St Ste B
Northville, MI 48167-1681

Mailing address

61403 Fairland Dr
South Lyon, MI 48178-9832
Phone (248) 880-9539

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420002133 MI Practitioner - Physical Therapist in Private Practice 5496163073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northville Physical Rehabilitation PCGroup PAC ID 5193611101, 13 clinicians

Practice addresses (Care Compare)

215 E Main St
Suite B
Northville, MI 48167-1681
Phone (248) 349-9339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northville Physical Rehabilitation, P.C. Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients

Locations

215 E Main St
Ste B
Northville, MI 48167
Phone (248) 349-9339

Organizations & group practices 1

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1609439439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61403 FAIRLAND DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789832",
            "telephone_number": "248-880-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST STE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671681",
            "telephone_number": "248-349-9339",
            "fax_number": "248-349-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "DANIELLE",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.