Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELIJAH MALIK GILMORE, PT, DPT, CSCS
ActiveDR. ELIJAH MALIK GILMORE, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in ODESSA, Florida. NPI 1700741139 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ODESSA, FL
Registration Details
- NPI Number
- 1700741139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2025 (0.62223618569635 yrs)
- Last Updated
- Dec 18, 2025
Practice Information
- Address
-
16228 STATE ROAD 54ODESSA, FL, 335563729Browse FL providers · Browse ZIP 33556
- Phone
- 8134755599
- Fax
- 8135659236
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ODESSA, FL
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER ROMANO | P.T. | 1962465872 |
| FERMIN ROLAND ROTEA | P.T. | 1700986429 |
| MS. SUSAN KAY OLSEN | PT | 1629157961 |
| MR. RANDALL CHARLES DEAN | RPT | 1831370089 |
| DR. JOHANNES HELMERT WIJNMAALEN | DPT, MBA, MTC | 1962661116 |
| ROBERT CHURCHILL | PT | 1740533603 |
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.