NPIMap

Organization Active NPI

Gateway Rehabilitation Company, LLC

  • Physical Therapist
  • East Alton, IL
National Provider Identifier
1093771883
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GATEWAY REHABILITATION COMPANY, LLC
Practice address
935 East Airline Dr
East Alton, IL 62024
Phone
(618) 258-9093
Fax
(618) 258-9097
NPI assigned
Apr 21, 2006
Last updated
Jul 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Mr. Larry D Hawkins, LPTNPI 1437115045
Title
Owner
Phone
(618) 258-9093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

935 East Airline Dr
East Alton, IL 62024

Mailing address

935 East Airline Dr
East Alton, IL 62024
Phone (618) 258-9093

National Provider Directory

National Provider Directory

Locations

637 Berkshire Blvd
East Alton, IL 62024
Phone (618) 258-9093

935 E Airline Dr
East Alton, IL 62024
Phone (618) 258-9093

1510 N Old Route 66
Litchfield, IL 62056
Phone (217) 324-3200

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1093771883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 EAST AIRLINE DR",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "62024",
            "telephone_number": "618-258-9093",
            "fax_number": "618-258-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 EAST AIRLINE DR",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "62024",
            "telephone_number": "618-258-9093",
            "fax_number": "618-258-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY REHABILITATION COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-258-9093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.