Healthcare Provider Details

I. General information

NPI: 1619847225
Provider Name (Legal Business Name): GILMORE PHYSICAL THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2025
Last Update Date: 11/08/2025
Certification Date: 11/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4209 DOLLY RIDGE RD
VESTAVIA AL
35243-5703
US

IV. Provider business mailing address

4209 DOLLY RIDGE RD
VESTAVIA AL
35243-5703
US

V. Phone/Fax

Practice location:
  • Phone: 251-402-4858
  • Fax: 205-990-2019
Mailing address:
  • Phone: 251-402-4858
  • Fax: 205-990-2019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: EMILY WILSON GILMORE
Title or Position: OWNER
Credential: DPT
Phone: 251-402-4858