Individual provider Active NPI

Janine Gillis, PT

  • Physical Therapist
  • Plainview, NY
National Provider Identifier
1821034265
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010705-1 Issued in NY
Practice address
651 Old Country Rd
Suite 100
Plainview, NY 11803-4908
Phone
(516) 470-2150
Fax
(516) 870-1477
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010705-1 NY Primary

Addresses

Primary practice location

651 Old Country Rd
Suite 100
Plainview, NY 11803-4908

Mailing address

651 Old Country Rd
Suite 100
Plainview, NY 11803-4908
Phone (516) 470-2150

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

LicenseStateTypeSpecialty
010705-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plainview Physical Therapy, PC Physical Therapist PastSince Nov 8, 2000 Accepting new patients
Sprain Brook Physical Therapy,P.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1821034265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "address_2": "SUITE 100",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034908",
            "telephone_number": "516-470-2150",
            "fax_number": "516-870-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "address_2": "SUITE 100",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034908",
            "telephone_number": "516-470-2150",
            "fax_number": "516-870-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "JANINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010705-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.