DR. JAKE LEY GILLIS DPT
NPI 1053020842
Physical Therapist - Orthopedic in Pembroke Pines, FL

Active since November 21, 2022Accepts Medicare Assignment
17900 NW 5TH ST STE 102, PEMBROKE PINES, FL 33029(954) 367-4000 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 12, 2023, Nov 21, 2022 (2 updates tracked since 2022).

About Dr. Jake Ley Gillis Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAKE LEY GILLIS DPT (NPI 1053020842) is an individual orthopedic provider in Pembroke Pines, Florida, licensed in Florida (39611) and active in the NPI registry since November 2022. He maintains 2 additional practice locations and is a graduate of Florida International Univ, College Of Medicine (2022).

NPPES Registry Identity

NPI1053020842
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JAKE LEY GILLISCredential: DPT
Location Address17900 NW 5TH ST STE 102Pembroke Pines, FL 33029-2809
Mailing Address7230 Taft StHollywood, FL 33024-5430 · (954) 907-3182
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2022
Enumeration DateNovember 21, 2022
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
NPI 1053020842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in FL · 39611
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
17900 NW 5TH ST STE 102, Pembroke Pines, FL 33029

Secondary Practice Locations 2

Location 13250 Meridian PkwyWeston, FL 33331 · Phone (954) 659-5000
Location 27230 Taft StHollywood, FL 33024-5430 · Phone (954) 907-3182

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jake Ley Gillis Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224408315
PECOS Enrollment IDI20230106000179

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
781 services178 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
215 services108 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
151 services65 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
47 services44 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
44 services43 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
43 services18 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
17900 NW 5TH ST STE 102
PEMBROKE PINES, FL 33029
Rehabilitation Practitioner
17900 NW 5TH ST STE 102
PEMBROKE PINES, FL 33029
Physical Therapist
17900 NW 5TH ST STE 102
PEMBROKE PINES, FL 33029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Gillis's NPI number?

The NPI number for Jake Gillis is 1053020842. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Jake Gillis located?

Jake Gillis practices at 17900 NW 5th St Ste 102, Pembroke Pines, FL 33029. The listed phone number is (954) 367-4000.

What is Jake Gillis's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jake Gillis enrolled in Medicare?

Yes. Jake Gillis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jake Gillis accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Jake Gillis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jake Gillis was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.