OWEN GILLAM
NPI 1508413469
Physical Therapist in Herkimer, NY

Active since August 24, 2019
3061 STATE ROUTE 28, HERKIMER, NY 13350(315) 717-0020 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1508413469
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameOWEN GILLAM
Location Address3061 STATE ROUTE 28Herkimer, NY 13350-1041
Mailing Address3061 State Route 28Herkimer, NY 13350-1041
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 24, 2019
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1508413469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in FL · PT41539
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3061 STATE ROUTE 28, Herkimer, NY 13350

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Owen Gillam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739513490
PECOS Enrollment IDI20251104001736

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.

Physical Therapist
3061 STATE ROUTE 28
HERKIMER, NY 13350
Physical Therapist
3061 STATE ROUTE 28
HERKIMER, NY 13350
Physical Therapist
3061 STATE ROUTE 28
HERKIMER, NY 13350
Physical Therapist
3061 STATE ROUTE 28
HERKIMER, NY 13350
Physical Therapist
3061 STATE ROUTE 28
HERKIMER, NY 13350
Physical Therapist
3061 STATE ROUTE 28
HERKIMER, NY 13350
Physical Therapist
3061 STATE ROUTE 28
HERKIMER, NY 13350
Physical Therapist
3061 STATE ROUTE 28
HERKIMER, NY 13350

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.

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 5 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.