Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Jack Gillingham, PT, DPT

Individual provider Orthopedic Physical Therapist · NPI 1548090004

Dr. Jack Gillingham, PT, DPT is registered under Physical Therapist in Private Practice in Talent, Oregon. Qualified in 2024, 2 years ago. Practices with Jackson County Physical Therapy LLP, a 13-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
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

288 S Pacific Hwy
Talent, OR 97540-6649
Phone: (541) 482-6360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 65317 (OR)

Record details

NPI number1548090004
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Jackson County Physical Therapy Llp — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Jackson County Physical Therapy LLP

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Talent