Active NPI
Arnel Reiner Gango, PT, COMT
- Physical Therapist
- Glenview, IL
National Provider Identifier
1184890014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070010188
- Practice address
- 3703 W Lake Ave
Suite 200
Glenview, IL 60026-5823 - Phone
- (847) 998-1188
- NPI assigned
- Apr 30, 2008
- Last updated
- Apr 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070010188 | IL | Primary |
Addresses
Primary practice location
3703 W Lake Ave
Suite 200
Glenview, IL 60026-5823
Mailing address
6810 Ridge Point Dr
Unit 1a
Oak Forest, IL 60452-1452
Phone (708) 307-2653
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070010188 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Rehabilitation & Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy & Rehab Net Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Chicago, IL
- NPI 1831141233
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Merrionette Park, IL
- NPI 1194898114
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1184890014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6810 RIDGE POINT DR",
"address_2": "UNIT 1A",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604521452",
"telephone_number": "708-307-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 W LAKE AVE",
"address_2": "SUITE 200",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600265823",
"telephone_number": "847-998-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGO",
"first_name": "ARNEL",
"middle_name": "REINER",
"credential": "PT, COMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070010188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.