Provider Demographics
NPI:1972799641
Name:GILMORE, JAMES M (PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:GILMORE
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:VANDERBILT ORTHOPAEDIC INSTITUTE
Mailing Address - Street 2:3200 MEDICAL CENTER EAST, SOUTH TOWER
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-322-0100
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT ORTHOPAEDIC INSTITUTE
Practice Address - Street 2:3200 MEDICAL CENTER EAST, SOUTH TOWER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-322-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT00000042722251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic