Individual provider Active NPI

Gina Rene' Landfair, OTR/L

  • Specialist
  • Oak Park, IL
National Provider Identifier
1073661799
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
056003659 Issued in IL
Practice address
126 N Cuyler Ave
Oak Park, IL 60302-2602
Phone
(708) 714-7932
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 056003659 IL Primary

Addresses

Primary practice location

126 N Cuyler Ave
Oak Park, IL 60302-2602

Mailing address

126 N Cuyler Ave
Oak Park, IL 60302-2602
Phone (708) 714-7932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056003659ILMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1073661799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022602",
            "telephone_number": "708-714-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N CUYLER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022602",
            "telephone_number": "708-714-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDFAIR",
        "first_name": "GINA",
        "middle_name": "RENE'",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "056003659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.