Active NPI
Kelsey Ann Gilman, PT, DPT
- Pediatric Physical Therapist
- Alpharetta, GA
National Provider Identifier
1689006231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT011097
- Practice address
- 6505 Shiloh Rd
Suite 100
Alpharetta, GA 30005-8405 - Phone
- (678) 648-7644
- Fax
- (678) 648-7479
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT011097 | GA | Primary |
Addresses
Primary practice location
6505 Shiloh Rd
Suite 100
Alpharetta, GA 30005-8405
Mailing address
360 Pharr Rd NE
Apt 118
Atlanta, GA 30305-2350
Phone (973) 632-9033
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011097 | GA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapyland LLC | Pediatrics | Past | Accepting new patients |
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": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1689006231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 PHARR RD NE",
"address_2": "APT 118",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052350",
"telephone_number": "973-632-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 SHILOH RD",
"address_2": "SUITE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300058405",
"telephone_number": "678-648-7644",
"fax_number": "678-648-7479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "KELSEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "PT011097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.