Jack Gillingham, PT, DPT
NPI 1548090004 · Orthopedic Physical Therapist · Talent, OR
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Gillingham, PT, DPT is a Orthopedic Physical Therapist provider in Talent, OR (NPI 1548090004).
Provider details
- NPI number
- 1548090004
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 65317 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-07
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Frequently asked questions
- What is Jack Gillingham's NPI number?
- Jack Gillingham's National Provider Identifier (NPI) is 1548090004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Gillingham's specialty?
- Jack Gillingham is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jack Gillingham located?
- Jack Gillingham's practice location on file with NPPES is 288 S Pacific Hwy, Talent, OR 97540-6649.
- What is Jack Gillingham's phone number?
- The practice phone number listed in the NPPES registry for Jack Gillingham is (541) 482-6360.
- Does Jack Gillingham accept Medicare?
- Jack Gillingham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Gillingham's NPI active?
- Yes — Jack Gillingham's NPI (1548090004) is active in the NPPES registry as of the last update on 2024-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.