Active NPI
John Andrew Gillis, MPT
- Physical Therapist
- Chevy Chase, MD
National Provider Identifier
1740288935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18502
- Practice address
- 5530 Wisconsin Ave
Suite 604
Chevy Chase, MD 20815-4404 - Phone
- (301) 656-6922
- Fax
- (301) 656-6977
- NPI assigned
- Jul 12, 2005
- Last updated
- Sep 22, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18502 | MD | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 18502 | MD |
Addresses
Primary practice location
5530 Wisconsin Ave
Suite 604
Chevy Chase, MD 20815-4404
Mailing address
5530 Wisconsin Ave
Suite 604
Chevy Chase, MD 20815-4404
Phone (301) 656-6922
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18502 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopedic Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
| Tuckey and Associates Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sports LLC
- Physical Therapist
- Kensington, MD
- NPI 1245304518
-
- Physical Therapist
- Frederick, MD
- NPI 1669669818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1740288935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE",
"address_2": "SUITE 604",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154404",
"telephone_number": "301-656-6922",
"fax_number": "301-656-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE",
"address_2": "SUITE 604",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154404",
"telephone_number": "301-656-6922",
"fax_number": "301-656-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIS",
"first_name": "JOHN",
"middle_name": "ANDREW",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18502",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "18502",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.