Healthcare Provider Details

I. General information

NPI: 1861891277
Provider Name (Legal Business Name): HOLLY E GILL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2014
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7273 VANDERBILT BEACH RD STE 33
NAPLES FL
34119-1479
US

IV. Provider business mailing address

6101 PINE RIDGE RD STE 101
NAPLES FL
34119-3900
US

V. Phone/Fax

Practice location:
  • Phone: 239-449-3072
  • Fax: 877-334-1886
Mailing address:
  • Phone: 239-449-3072
  • Fax: 877-334-1886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT28731
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: