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1689006231 NPI number — KELSEY ANN GILMAN PT, DPT

NPI Number: 1689006231
Health Care Provider/Practitioner: KELSEY ANN GILMAN PT, DPT

Information about “1689006231” NPI (KELSEY ANN GILMAN PT, DPT) exists in 1689006231 in HTML format HTML  |  1689006231 in plain Text format TXT  |  1689006231 in PDF (Portable Document Format) PDF  |  1689006231 in an XML format XML  formats.

NPI Number : 1689006231 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689006231",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GILMAN",
    "FirstName": "KELSEY",
    "MiddleName": "ANN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "360 PHARR RD NE",
    "SecondLineMailingAddress": "APT 118",
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30305-2350",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-632-9033",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6505 SHILOH RD",
    "SecondLinePracticeLocationAddress": "SUITE 100",
    "PracticeLocationAddressCityName": "ALPHARETTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30005-8405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-648-7644",
    "PracticeLocationAddressFaxNumber": "678-648-7479",
    "EnumerationDate": "08/06/2013",
    "LastUpdateDate": "03/23/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2251P0200X",
        "TaxonomyName": "Pediatric Physical Therapist",
        "LicenseNumber": "PT011097",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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