Janette C Gumabong, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070015404 Issued in IL

Practice address

16139 Weber Rd
Crest Hill, IL 60403-8742

Phone

(815) 836-3403

NPI assigned

Mar 19, 2007

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

Other identifiers 1

Other names 1

• Janette A Castillon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athletic &Therapeutic Institute of Naperville, LLC

  • Physical Therapist
  • Joliet, IL
  • NPI 1598872921
  NPD (past)
• Athletic and Therapeutic Institute of Joliet LLC

  • Physical Therapist
  • Joliet, IL
  • NPI 1932249109
  NPD (past)
• Golden Care Solutions, Inc

  • Home Health Agency
  • Naperville, IL
  • NPI 1285913483
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083738561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16139 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604038742",
            "telephone_number": "815-836-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMABONG",
        "first_name": "JANETTE",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00931568",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANETTE",
            "last_name": "CASTILLON",
            "middle_name": "A",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca L Gleich, DPT
• Global Medical Solutionz Equipment & Transportation
• Diane Graman, FNP
• Oleksandr Grechko, DDS
• Michael Vincent Guadiz, D.D.S.
• Duncan William Hall, LCSW
• Faith Hartman, PT
• Teresa Martinez Haugen, PT
• Beth Marie Hawkins, LCSW,MAC,CAADC,CCJP
• Helene Doss

• Physical Therapist in Crest Hill, IL
• Providers in Crest Hill, 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 21, 2022; 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.