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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1396725057

Theresa A Gillis, MD is a Physical Medicine and Rehabilitation in New York, New York. Graduated from Northeastern Ohio University College of Medicine in 1989, 37 years ago. Practices with Memorial Neurology Group, a 96-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
37
Trained at
Northeastern Ohio University College of Medicine
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

515 Madison Ave Frnt 5
New York, NY 10022-5488
Phone: (646) 888-1936
Fax: (646) 888-1910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 82409197 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 25MA10013000 (NJ)
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081H0002X · Licence 82409197 (NY)
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081H0002X · Licence 25MA10013000 (NJ)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 82409197 (NY)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 25MA10013000 (NJ)

Record details

NPI number1396725057
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 19, 2006
Last updated in NPPESDecember 19, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesHOSPICE/PALLIATIVE CARE, PAIN MANAGEMENT
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Memorial Neurology Group — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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