NATHANIEL T GILLISPIE (PT, DPT) – Physical Therapist, NPI 1407268154
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA
Provider Addresses for NATHANIEL T GILLISPIE (PT, DPT)
771 PILOT HOUSE DR
SUITE A
NEWPORT NEWS, VA 236061990
Phone: (757) 873-2302
Fax: (757) 873-2306
Type: Mailing
77 MARKET ST
SUITE B
PALMYRA, VA 229634687
Phone: (434) 510-7301
Fax: (434) 510-7418
Type: Location
4290 Ivy Rd Ste 120
Charlottesville, VA 229037010
Phone: (434) 327-5244
Type: Location
209 N Madison Rd
Orange, VA 22960
Phone: (540) 672-2708
Type: Location
PO BOX 412307
BOSTON, MA 022412307
Phone: (914) 294-4050
Type: Mailing
1460 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 229114671
Phone: (434) 817-4100
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: 2014-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140805002299 | I | Physical Therapist In Private Practice | VA | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 354 | 41 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 163 | 24 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 51 | 20 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 22 | 20 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 23606)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | VA | 97001 | Physical therapy evaluation | 164 | 145 |
| PHYSICAL THERAPY | VA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2785 | 162 |
| PHYSICAL THERAPY | VA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 1241 | 144 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | MA | |
| Physical Therapist In Private Practice | MA | |
| Physical Therapist In Private Practice | MA | |
| Physical Therapist In Private Practice | VA |
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