Active NPI
Nicholas William Gigliotti, PT
- Physical Therapist
- Marshall, MN
National Provider Identifier
1780928747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9212
- Practice address
- 1420 E College Dr
Suite 704
Marshall, MN 56258-2065 - Phone
- (320) 839-4271
- Fax
- (320) 839-4196
- NPI assigned
- Nov 15, 2012
- Last updated
- Nov 15, 2012
- 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 | 9212 | MN | Primary |
Addresses
Primary practice location
1420 E College Dr
Suite 704
Marshall, MN 56258-2065
Mailing address
309 Washington Ave
Ortonville, MN 56278-1357
Phone (320) 839-4271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- nicholas.gigliotti@avera.sdhealthlink.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1780928747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 WASHINGTON AVE",
"city": "ORTONVILLE",
"state": "MN",
"postal_code": "562781357",
"telephone_number": "320-839-4271",
"fax_number": "320-839-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 E COLLEGE DR",
"address_2": "SUITE 704",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562582065",
"telephone_number": "320-839-4271",
"fax_number": "320-839-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIGLIOTTI",
"first_name": "NICHOLAS",
"middle_name": "WILLIAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.