Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elijah Malik Gilmore, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1700741139

Dr. Elijah Malik Gilmore, PT, DPT, CSCS is a Physical Therapist in Odessa, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

16228 State Road 54
Odessa, FL 33556-3729
Phone: (813) 475-5599
Fax: (813) 565-9236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1700741139
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedDecember 18, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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