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

Nathan Gillman

Individual provider Physical Therapist · NPI 1154049278

Nathan Gillman is a Physical Therapist in Private Practice in Wichita, Kansas. Qualified in 2022, 4 years ago. Practices with Phoenix Physical Therapy LLC, a 53-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

12627 E Central Ave Ste 308
Wichita, KS 67206-2839
Phone: (316) 260-3311
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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 number1154049278
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Phoenix Physical Therapy Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita