Active NPI
James Gillan, PT
- Physical Therapist
- Somerville, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22858
- Practice address
- 40 Holland St
Somerville, MA 02144-2705 - Phone
- (617) 629-6000
- NPI assigned
- Feb 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22858 | MA | Primary |
Addresses
Primary practice location
40 Holland St
Somerville, MA 02144-2705
Mailing address
10 Liberty SQ
BSMT 1
Boston, MA 02109-5814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22858 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
| Joint Ventures Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Joint Ventures Physical Therapy, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Past | Accepting new patients |
Locations
10 Liberty Sq
Bsmt 1
Boston, MA 02109
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
4 Water St
Boston, MA 02109
Phone 61753611613
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
20 Wall St
Burlington, MA 01803
Phone (781) 221-2500
40 Holland St
Somerville, MA 02144
Phone (617) 629-6000
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.
-
- Physical Therapy Clinic/Center
- Boston, MA
- NPI 1083667901
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Cambridge, MA
- NPI 1972149805
-
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1679072607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LIBERTY SQ",
"address_2": "BSMT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021095814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HOLLAND ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442705",
"telephone_number": "617-629-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLAN",
"first_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-05",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.