Jason D Gillam (NPI# 1740571595, PAC ID# 4587836770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1740571595 |
| PAC ID by PECOS | 4587836770 |
| Professional Enrollment ID | I20111012000377 |
| Full Name | Jason D Gillam |
| Organization Legal Name | HOME TOWN PHYSICAL THERAPY, LLC |
| Address |
2310 Peger Rd Suite 101 Fairbanks AK 99709-5305 |
| Phone Number | 9074577678 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9931178753 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 | 9074577678 | HOME TOWN PHYSICAL THERAPY, LLC |
| Organization Legal Name | HOME TOWN PHYSICAL THERAPY, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsi N Johnson | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Brenda R Wolverton | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Jennifer L Young | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Derrick B Cannon | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Cassandra C Brice | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Gregory S Milles | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Jill S Stagg | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Laura V Slamkowski | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Street Address |
2310 PEGER RD SUITE 101 |
| City | FAIRBANKS |
| State | AK |
| Zip | 99709-5305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul L Jensen | Neurosurgery | Spine Care Specialists of Alaska LLC | 2310 Peger Rd, Suite 106, Fairbanks, AK 99709-5305 |
| Kelsi N Johnson | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Mark A Wade | Orthopedic Surgery | Interior Alaska Orthopedic and Sports Medicine Inc | 2310 Peger Rd, Suite 105, Fairbanks, AK 99709-5305 |
| Michael William Priebe | Physician Assistant | Spine Care Specialists of Alaska LLC | 2310 Peger Rd, Suite 106, Fairbanks, AK 99709-5305 |
| Aaron T Yu | Diagnostic Radiology | Fairbanks Medical Imaging LLC | 2310 Peger Rd, Suite 102, Fairbanks, AK 99709-5305 |
| Brenda R Wolverton | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Angela Britt | Physician Assistant | Interior Alaska Orthopedic and Sports Medicine Inc | 2310 Peger Rd, Suite 105, Fairbanks, AK 99709-5305 |
| John Lopez | Neurosurgery | Spine Care Specialists of Alaska LLC | 2310 Peger Rd, Suite 106, Fairbanks, AK 99709-5305 |
| Jennifer L Young | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Derrick B Cannon | Physical Therapy | Home Town Physical Therapy, LLC | 2310 Peger Rd, Suite 101, Fairbanks, AK 99709-5305 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman T Lovell | Chiropractic | 570 Riverstone Way, Suite 2, Fairbanks, AK 99709-2940 | |
| Barbara M Keys | Optometry | West Valley Vision Center, Inc | 4169 Geist Rd, Fairbanks, AK 99709-3420 |
| Brannon Heath Mills | Optometry | West Valley Vision Center, Inc | 4169 Geist Rd, Fairbanks, AK 99709-3420 |
| Michael J Mavencamp | Optometry | West Valley Vision Center, Inc | 4169 Geist Rd, Fairbanks, AK 99709-3420 |
| Ambria M Ptacek | Physician Assistant | Mckinley Orthopedic and Sportsmedicine, LLC | 3745 Geist Rd, Fairbanks, AK 99709-3554 |
| Jennifer K Malcolm | Family Medicine | Mckinley Sports Medicine LLC | 3745 Geist Rd, Fairbanks, AK 99709-3554 |
| Neal E Everson | Orthopedic Surgery | Mckinley Orthopedic and Sportsmedicine, LLC | 3745 Geist Rd, Fairbanks, AK 99709-3554 |
| Jennifer A Holt | Physician Assistant | Mckinley Orthopedic and Sportsmedicine, LLC | 3745 Geist Rd, Fairbanks, AK 99709-3554 |
| Benjamin D Johnson | Physician Assistant | Mckinley Sports Medicine LLC | 3745 Geist Rd, Fairbanks, AK 99709-3554 |
| Timothy W Carey | Orthopedic Surgery | Mckinley Orthopedic and Sportsmedicine, LLC | 3745 Geist Rd, Fairbanks, AK 99709-3554 |
| Find all physicians in zip 99709 | |||
| City | FAIRBANKS |
| Zip Code | 99709 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FAIRBANKS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jason D Gillam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.