Michael Gillespie, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1221966 Issued in TX

Practice address

6032 FM 3009
#130
Schertz, TX 78154

Phone

(210) 781-4810

Fax

(210) 314-1145

NPI assigned

Nov 7, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ascent Physical Therapy, PC

  • Sports Physical Therapist
  • Austin, TX
  • NPI 1902163843
  Medicare reassignment NPD
• The Michanic Shop, LLC

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1265100192
  NPD Authorized official

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1861746273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ONYX LAKE DR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "210-781-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 FM 3009",
            "address_2": "#130",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "78154",
            "telephone_number": "210-781-4810",
            "fax_number": "210-314-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1221966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXECUTIVE COUNCIL OF PHYSICAL THERAPY LICENSE",
            "identifier": "1221966",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Gaytan, NP
• Cailee Ann Gee
• Carly Ann Gentry, OD
• Shabnam Ghahremani, DPT
• Michael Joseph Gilbertson
• Amy Givens
• Gloria S. Wright, D.O., PLLC
• Isis Nicolette Godina
• Michelle Nicole Goldsmith
• Annette Gomez, RNC

• Physical Therapist in Schertz, TX
• Providers in Schertz, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.