| Wayne James Gilmour, | |
|
10725 Zelzah Ave, Ste B, Granada Hills, CA 91344-4431 | |
| (818) 832-8383 | |
| Not Available |
| Full Name | Wayne James Gilmour |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 10 Years |
| Location | 10725 Zelzah Ave, Granada Hills, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396199675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 291304 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evolution Physical Therapy Inc | 0244336964 | 61 |
| Provider Name | Evolution Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174601116 PECOS PAC ID: 0244336964 Enrollment ID: O20070426000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne James Gilmour, 19510 Ventura Blvd, Ste 106, Tarzana, CA 91356-2974 Ph: (661) 254-0077 | Wayne James Gilmour, 10725 Zelzah Ave, Ste B, Granada Hills, CA 91344-4431 Ph: (818) 832-8383 |
Colleen Ann Duran, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15915 Devonshire St, Granada Hills, CA 91344 Phone: 717-826-2826 | |
Jordan Wilhelm, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10725 Zelzah Ave Unit B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Mari Iyama, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Dr. Nathan Sim Marriott, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11858 1/2 Balboa Blvd, Granada Hills, CA 91344 Phone: 818-217-4868 | |
Evan Filice, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Andrei Carballo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Mr. Kirk Maroy Briggs, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Suite 330, Granada Hills, CA 91344 Phone: 818-832-7298 Fax: 818-832-7249 |