Trevor Gilliam, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 26598 Issued in FL

Practice address

1056 Goodlette Rd N
Naples, FL 34102-5488

Phone

(239) 430-0123

Fax

(239) 430-0124

NPI assigned

Jul 8, 2011

Last updated

Jul 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Coast Physical Therapy IncGroup PAC ID 3577562313, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Palm Coast Physical Therapy, Inc.

  • Specialist
  • Naples, FL
  • NPI 1396842654

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1851688915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 GOODLETTE RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025488",
            "telephone_number": "239-430-0123",
            "fax_number": "239-430-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 GOODLETTE RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025488",
            "telephone_number": "239-430-0123",
            "fax_number": "239-430-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "TREVOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 26598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly E Gill, DPT
• Kiranjeet Gill, MD
• Susan M Gill, PAC
• Maeve Gillen
• William Gillenwaters, DMD
• Lisa Gilmore, PTA
• Julieta Gilson, M.D
• Richard Rodrigue Gingras, CPO
• Monica Nancy Ginocchio, PA
• Ginsberg Eye Obs

• Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.