Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL GOUGH, PT, DPT
Deactivated Sole ProprietorJILL GOUGH, PT, DPT is a Physical Therapy Assistant healthcare provider located in ANN ARBOR, Michigan. NPI 1568722114 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ANN ARBOR, MI
This NPI has been deactivated.
The record was deactivated on April 18, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1568722114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2012 (1.9232876712329 yrs)
- Last Updated
- Mar 20, 2018
- Deactivated
- Apr 18, 2014
- License
-
5501015551 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 E MEDICAL CENTER DRANN ARBOR, MI, 481095000Browse MI providers · Browse ZIP 48109
- Phone
- 7349367070
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ANN ARBOR, MI
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES CHRISTOPHER VAUGHN III | MPT | 1306815881 |
| AMIRA TAL-HENIG | PT | 1679529218 |
| JACQUES RENE GERMA | PT | 1265489710 |
| JENNIFER ELIZABETH CARROLL | PT | 1962441790 |
| MR. JONATHAN THOMAS SHAW | MSPT | 1144264284 |
| HERLIND ELZA DEBLESER | P.T. | 1952347940 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.