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

Individual provider Physical Therapist · NPI 1134012800

Phillip Gilmore Jr. is a Physical Therapist in Private Practice in Summit, New Jersey. Qualified in 2024, 2 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

469 Morris Ave
Summit, NJ 07901-1583
Phone: (908) 731-6916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1101 Salem Ave, Hillside, NJ 07205-2834 — (908) 721-8875

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02337800 (NJ)

Record details

NPI number1134012800
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

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 Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Summit