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

Mrs. Elisha Anne Gillum, MPT

Individual provider Pediatric Physical Therapist · NPI 1750413522

Mrs. Elisha Anne Gillum, MPT is a Pediatric Physical Therapist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

801 N 11th St Medicaid Dept
Saint Louis, MO 63101-1015
Phone: (314) 345-2535
Fax: (314) 345-2653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 2001008315 (MO)

Record details

NPI number1750413522
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007

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