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DR. JACK GILLINGHAM PT, DPT
NPI 1548090004
Physical Therapist - Orthopedic in Talent, OR

Active since August 07, 2024Accepts Medicare Assignment
288 S PACIFIC HWY, TALENT, OR 97540(541) 482-6360 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Gillingham Pt, Dpt NPPES

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

DR. JACK GILLINGHAM PT, DPT (NPI 1548090004) is an individual orthopedic provider in Talent, Oregon, licensed in Oregon (65317) and active in the NPI registry since August 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1548090004
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JACK GILLINGHAMCredential: PT, DPT
Location Address288 S PACIFIC HWYTalent, OR 97540-6649
Mailing Address36 Hawthorne StMedford, OR 97504-7114
Phone(541) 482-6360
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1548090004 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 OR · 65317
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.
288 S PACIFIC HWY, Talent, OR 97540
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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. Jack Gillingham Pt, 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 ID749712990
PECOS Enrollment IDI20241014002231

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 Jack Gillingham's NPI number?

The NPI number for Jack Gillingham is 1548090004. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Jack Gillingham located?

Jack Gillingham practices at 288 S Pacific Hwy, Talent, OR 97540. The listed phone number is (541) 482-6360.

What is Jack Gillingham's specialty?

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

Is Jack Gillingham enrolled in Medicare?

Yes. Jack Gillingham 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 Jack Gillingham accept?

Health plans from Moda Health Plan, Inc. list Jack Gillingham 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 Jack Gillingham was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.