Active NPI
Gillespie Physical Therapy & Massage LLC
- Physical Therapy Clinic/Center
- Huntersville, NC
National Provider Identifier
1881214351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- GILLESPIE PHYSICAL THERAPY & MASSAGE LLC
- Practice address
- 112 S Old Statesville Rd Ste 102
Huntersville, NC 28078-7804 - Phone
- (704) 794-8012
- NPI assigned
- Apr 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elisa Christine Gillespie, PT, DPT
- Title
- Owner
- Phone
- (516) 385-0323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
112 S Old Statesville Rd Ste 102
Huntersville, NC 28078-7804
Mailing address
112 S Old Statesville Rd Ste 102
Huntersville, NC 28078-7804
Phone (704) 794-8012
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587686400000",
"number": "1881214351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S OLD STATESVILLE RD STE 102",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787804",
"telephone_number": "704-794-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S OLD STATESVILLE RD STE 102",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787804",
"telephone_number": "704-794-8012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILLESPIE PHYSICAL THERAPY & MASSAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A",
"authorized_official_last_name": "GILLESPIE",
"authorized_official_first_name": "ELISA",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-385-0323",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.