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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CAMDEN GILLIE
NPI 1811805930
Student in an Organized Health Care Education/Training Program in Arlington, VA

Active since August 31, 2026
4040 FAIRFAX DR STE 120, ARLINGTON, VA 22203(703) 292-4060 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Camden Gillie NPPES

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

CAMDEN GILLIE (NPI 1811805930) is an individual student in an organized health care education/training program in Arlington, Virginia and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1811805930
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCAMDEN GILLIE
Location Address4040 FAIRFAX DR STE 120Arlington, VA 22203-1613
Mailing Address21389 Sturman PlBroadlands, VA 20148-3622 · (571) 442-2595
Phone(703) 292-4060
Sole ProprietorNo
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1811805930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4040 FAIRFAX DR STE 120, Arlington, VA 22203
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Other Providers at the Same Location NPPES 20

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

SOCHEATHDARA SAM
Physical Therapy Assistant
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (571) 777-0918
MRS. JANE ELIZABETH UEMURA
Student in an Organized Health Care Education/Training Program
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060
VICTORIA BENAVENTE PT
Physical Therapist
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (571) 877-6028
AHMAD MUTAWAK
Student in an Organized Health Care Education/Training Program
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060
ELIZABETH WHITE ROTHERMEL MSPT
Physical Therapist
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060
MR. MITRO DARREN ROMAN STUDENT PTA
Student in an Organized Health Care Education/Training Program
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (571) 359-9730
SARA JULIET WASH
Student in an Organized Health Care Education/Training Program
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060
DR. STEVEN RICHARD MCFETRIDGE II PT, DPT, CSCS
Physical Therapist
4040 FAIRFAX DR STE 120
ARLINGTON, VA 22203
Arlington County (703) 292-4060

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 Camden Gillie's NPI number?

The NPI number for Camden Gillie is 1811805930. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Where is Camden Gillie located?

Camden Gillie practices at 4040 Fairfax Dr Ste 120, Arlington, VA 22203. The listed phone number is (703) 292-4060.

What is Camden Gillie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Camden Gillie was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.