Individual provider Active NPI

Brian Luis Gil, PTA

  • Physical Therapy Assistant
  • Hialeah, FL
National Provider Identifier
1831749217
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
29374 Issued in FL
Practice address
664 E 25TH St Ste 102
Hialeah, FL 33013-3806
Phone
(786) 732-0189
Fax
(786) 429-3375
NPI assigned
Sep 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 29374 FL Primary

Addresses

Primary practice location

664 E 25TH St Ste 102
Hialeah, FL 33013-3806

Mailing address

1355 W 44TH PL Apt 321
Hialeah, FL 33012-3368
Phone (786) 542-4110

Other practice location 1

664 E 25th St Ste 102
Hialeah, FL 33013-3806
Phone (786) 732-0189

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

LicenseStateTypeSpecialty
29374FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1831749217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W 44TH PL APT 321",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123368",
            "telephone_number": "786-542-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 E 25TH ST STE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133806",
            "telephone_number": "786-732-0189",
            "fax_number": "786-429-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "664 E 25th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133806",
            "country_code": "US",
            "telephone_number": "786-732-0189",
            "fax_number": "786-429-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIL",
        "first_name": "BRIAN",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.