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

Wayne James Gilmour

Individual provider Physical Therapist · NPI 1396199675

Wayne James Gilmour is a Physical Therapist in Private Practice in Granada Hills, California. Qualified in 2016, 10 years ago. Practices with Evolution Physical Therapy Inc, a 72-clinician group. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

10725 Zelzah Ave Ste B
Granada Hills, CA 91344-4431
Phone: (818) 832-8383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 291304 (CA)

Record details

NPI number1396199675
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2016
Last updated in NPPESApril 27, 2017
Mailing address19510 Ventura Blvd, Ste 106, Tarzana, CA 91356-2974

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Evolution Physical Therapy Inc — 72 clinicians
Accepts Medicare assignment Not indicated

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