Gwendolyn Marie Crombie, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

70012685 Issued in IL

Practice address

345 E Superior St
12TH Floor
Chicago, IL 60611-2654

Phone

(312) 238-6171

Fax

(312) 238-1212

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073647046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N ORCHARD ST",
            "address_2": "UNIT F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145191",
            "telephone_number": "773-817-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E SUPERIOR ST",
            "address_2": "12TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112654",
            "telephone_number": "312-238-6171",
            "fax_number": "312-238-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMBIE",
        "first_name": "GWENDOLYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70012685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Bridget Crofts, MA, LSW, LCSW
• Alexandru Croitoru, FNP-C
• Katherine A Croke, MD
• Jamie Friedlander Croll, LCPC
• Sarah Capelouto Cromack, MD
• Michael Anthony Cromeans, M.D.
• Alison Cromer
• Thetis Rachel Cromie, PH.D.
• Thomas Joseph Cromley
• Roy Clifton Crompton, OD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.