Organization Active NPI

Gillette & Assocaites Physical Therapy a Professional Corporation

  • Physical Therapy Clinic/Center
  • Woodland Hills, CA
National Provider Identifier
1619142536
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GILLETTE & ASSOCAITES PHYSICAL THERAPY A PROFESSIONAL CORPORATION
Practice address
6325 Topanga Canyon Blvd Ste 100
Woodland Hills, CA 91367-2005
Phone
(818) 340-8858
Fax
(818) 340-1088
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Terry Michael Gillette, PTNPI 1740267905
Title
Owner
Phone
(818) 340-8858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

6325 Topanga Canyon Blvd Ste 100
Woodland Hills, CA 91367-2005

Mailing address

6325 Topanga Canyon Blvd Ste 100
Woodland Hills, CA 91367-2005
Phone (818) 340-8858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080623000388 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658442454 Receives reassigned benefits from 5 practitioners
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

6325 Topanga Canyon Blvd
Ste 100
Woodland Hls, CA 91367
Phone (818) 340-8858

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1619142536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672005",
            "telephone_number": "818-340-8858",
            "fax_number": "818-340-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672005",
            "telephone_number": "818-340-8858",
            "fax_number": "818-340-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLETTE & ASSOCAITES PHYSICAL THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-340-8858",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.