Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Gillingham

Individual provider Physical Therapist · NPI 1396501128

Matthew Gillingham is a Physical Therapist in Wilkes Barre, Pennsylvania. Licensed in California, North Carolina and Pennsylvania. Registered with an NPI since 2024.

Licensed in
CA, NC, PA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

1122 Highway 315 Blvd
Wilkes Barre, PA 18702-6943
Phone: (877) 407-3422
Fax: (877) 407-4329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT032041 (PA)
Physical Therapist Taxonomy 225100000X · Licence 309466 (CA)
Physical Therapist Taxonomy 225100000X · Licence CP048707T (NC)

Record details

NPI number1396501128
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2024
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

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