Rosen Gerald Gavino

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070014696 Issued in IL

Practice address

1026 Maple Ave.
Lisle, IL 60532-2329

Phone

(630) 434-0271

Fax

(630) 434-0938

NPI assigned

Jun 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

St. Charles Service CorporationGroup PAC ID 1456501667, 5 clinicians

Carol Stream Service CorporationGroup PAC ID 8123055688, 5 clinicians

Dupage Pain Management LTDGroup PAC ID 4587960034, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rosen.gavino@prc-il.direct.office.nextgen.com

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

• Dupage Pain Management LTD.

  • General Practice Physician
  • Willowbrook, IL
  • NPI 1205295888
  Medicare reassignment Care Compare group NPD
• Physical Rehabilitation Clinics Inc.

  • Physical Therapist
  • Rolling Meadows, IL
  • NPI 1073055026
  Medicare reassignment NPD Authorized official
• Carol Stream Service Corporation

  dba Olympic Chiropractic & Physical Therapy

  • Chiropractor
  • Bartlett, IL
  • NPI 1679641823
  Medicare reassignment Care Compare group
• St. Charles Service Corporation

  dba Olympia Chiropractic and Physical Therapy

  • Chiropractor
  • St Charles, IL
  • NPI 1093070567
  Medicare reassignment Care Compare group
• Titan Medical Associates LTD.

  • Clinic/Center
  • West Dundee, IL
  • NPI 1407571664
  NPD
• A Kraai LTD

  • Physical Therapist
  • Naperville, IL
  • NPI 1801056387
  NPD (past)
• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD (past)
• Jackson Chiropractic & Rehabilitation, LLC

  • Chiropractor
  • Evergreen Park, IL
  • NPI 1023447448
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174559058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 MAPLE AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322329",
            "telephone_number": "630-434-0271",
            "fax_number": "630-434-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 MAPLE AVE.",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322329",
            "telephone_number": "630-434-0271",
            "fax_number": "630-434-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVINO",
        "first_name": "ROSEN",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linna L Gali, MD
• April Renee Gallik, DNP, APRN, AGPCNP-BC
• Alondra Garcia, LCSW
• Fabricio Garcia
• Guadalupe Garcia, DC
• Michael Genslinger, D.C.
• Geriatric Care Specialists, LTD
• Giant Steps
• Giant Steps
• Shannon Giovingo, MSW, LSW

• Physical Therapist in Lisle, IL
• Providers in Lisle, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.