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

Stephen Gilliam

Individual provider Physical Therapy Assistant · NPI 1295062255

Stephen Gilliam is a Physical Therapy Assistant in South Daytona, Florida. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009

Practice location Address checks out

917 Beville Rd Ste G
South Daytona, FL 32119-1712
Phone: (386) 756-4395
Fax: (866) 426-2811
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA000967 (GA)

Record details

NPI number1295062255
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 12, 2009
Last updated in NPPESNovember 12, 2009
Mailing address390 Glenwood Dr, Athens, GA 30606-4620

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