DR. JAKE LEY GILLIS (DPT) – Orthopedic Physical Therapist, NPI 1053020842

DR. JAKE LEY GILLIS (DPT) is a healthcare provider. based in Weston, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 39611 (FL). The NPI Number for DR. JAKE LEY GILLIS (DPT) is 1053020842

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAKE LEY GILLIS (DPT)
NPI
1053020842
Phone
(954) 659-5000
Address
3250 Meridian Pkwy
Enumeration Date
21 November 2022
Last Update Date
12 January 2023

Doctor Profile

Medical School Name
FLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Secondary Phone
8774632010
Graduation Year
2022 (4 years ago)
PAC ID
8224408315
Group Practice PAC ID
7911807128
Professional Enrollment ID
I20230106000179
Address ID
FL333313502WE3250XPKWY300

Contacts

Secure Messaging
jake@atlanticrehabcenter.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for DR. JAKE LEY GILLIS (DPT)

  • 3250 Meridian Pkwy

    Weston, FL 33331

    Phone: (954) 659-5000

    Type: Location

  • 7230 Taft St

    Hollywood, FL 330245430

    Phone: (954) 907-3182

    Type: Location

  • 7230 TAFT ST

    HOLLYWOOD, FL 330245430

    Phone: (954) 907-3182

    Type: Mailing

  • 17900 NW 5TH ST STE 102

    PEMBROKE PINES, FL 330292809

    Phone: (954) 367-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230106000179IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes556101$0
97140Therapy procedure using manual technique, each 15 minutes13357$0
97535Training for self-care or home management, each 15 minutes6149$0
97161Evaluation for physical therapy, typically 20 minutes4343$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2913$0
View full utilization report →

Insurance plans in this area (ZIP 33331)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911807128View full group profile

Reviews

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Frequently asked questions

Does DR. JAKE LEY GILLIS (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JAKE LEY GILLIS (DPT) uses 1053020842.
Can I rely on DR. JAKE LEY GILLIS (DPT) being an active provider?
As of the registry snapshot, DR. JAKE LEY GILLIS (DPT) is marked active.
What is DR. JAKE LEY GILLIS (DPT)'s specialty?
The listing groups DR. JAKE LEY GILLIS (DPT) with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Does DR. JAKE LEY GILLIS (DPT) list a practice location?
Patients near Weston, Florida may find DR. JAKE LEY GILLIS (DPT) in results; validate coverage separately.
Is the information about DR. JAKE LEY GILLIS (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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