Healthcare Provider Details

I. General information

NPI: 1932818341
Provider Name (Legal Business Name): BILLY RYAN GILL PT, DPT, NCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 PEACHTREE DUNWOODY RD STE C35
SANDY SPRINGS GA
30328-5372
US

IV. Provider business mailing address

652 IRWIN ST NE
ATLANTA GA
30312-1630
US

V. Phone/Fax

Practice location:
  • Phone: 855-659-0010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPT015952
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: