Carol Gilligan, PT
Physical Therapist in Shoreview, MN. Individual provider (NPI-1).
NPI number1053436089
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1053436089
- Entity type
- Individual (NPI-1)
- Name
- Carol Gilligan
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4069 | MN | Yes |
Practice location
490 Highway 96 WSuite 300
Shoreview, MN 55126-1960
Phone 651-451-3016
Mailing address
14111 Paris Ave NStillwater, MN 55082-8523
Phone 651-451-3016
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Physical Therapist providers in Shoreview · All 536 providers in Shoreview
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