Robert William Gilson, PTA, MT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

27A Issued in AZ

Practice address

6246 N 19TH Ave
Phoenix, AZ 85015-1511

Phone

(602) 433-6300

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881897221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281701",
            "telephone_number": "602-616-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6246 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151511",
            "telephone_number": "602-433-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSON",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "PTA, MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "27A",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A1923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickey Gilmore
• Lindsey Nicole Gilmour, RN
• Maryam May Gilpatrick, MD
• Betsy L Gilpin, PHD
• Killian Marie Gilreath
• Joanna Grisel Gim
• Samantha Gimbel, PHARM D
• Rebecca Lynn Gimbrone, BSED
• Susan L Gin-Shaw, M.D.
• Brandon Gin

• Physical Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.