OWEN GILLAM
NPI 1508413469
Physical Therapist in Herkimer, NY
About Owen Gillam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OWEN GILLAM (NPI 1508413469) is an individual physical therapist in Herkimer, New York, licensed in Florida (PT41539) and active in the NPI registry since August 2019. He is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Owen Gillam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Owen Gillam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 422 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Owen Gillam's NPI number?
The NPI number for Owen Gillam is 1508413469. It was assigned to this individual provider in the NPPES registry on August 24, 2019.
Where is Owen Gillam located?
Owen Gillam practices at 3061 State Route 28, Herkimer, NY 13350. The listed phone number is (315) 717-0020.
What is Owen Gillam's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Owen Gillam enrolled in Medicare?
Yes. Owen Gillam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Owen Gillam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Owen Gillam reassigns Medicare benefits to Florida Luna Care Physical Therapy LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Owen Gillam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Owen Gillam was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.