Organization Active NPI

Gillespie Physical Therapy & Massage LLC

  • Physical Therapy Clinic/Center
  • Huntersville, NC
National Provider Identifier
1881214351
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Apr 24, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.