Paragon Physiotherapy and Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PARAGON PHYSIOTHERAPY AND WELLNESS LLC

Practice address

11935 W 143Rd St
Orland Park, IL 60467-7218

Phone

(708) 287-4429

Fax

(708) 478-1717

NPI assigned

Aug 26, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Gentile, DONPI 1174185946

Title

Owner/Ceo

Phone

(708) 287-4429

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

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.

• Michael A Gentile, DPT

  • Physical Therapist
  • Orland Park, IL
  • NPI 1174185946
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Cristina Burchett, P.T., DPT

  • Physical Therapist
  • Orland Park, IL
  • NPI 1033406335
  Medicare reassignment Care Compare group NPD
• Nadia S Love, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1235997123
  Medicare reassignment Care Compare group NPD
• Maggie Lynn Miller

  • Physical Therapist
  • Orland Park, IL
  • NPI 1508730854
  Medicare reassignment Care Compare group NPD
• Olivia Waight, PT, DPT, CSCS

  • Physical Therapist
  • Orland Park, IL
  • NPI 1447033022
  Medicare reassignment Care Compare group NPD
• Anna Waring, DPT

  • Physical Therapist
  • Orland Park, IL
  • NPI 1699519249
  Medicare reassignment Care Compare group NPD
• Bailey James Kellett

  • Physical Therapist
  • Orland Park, IL
  • NPI 1215847991
  NPD (past)

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1255050605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11935 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677218",
            "telephone_number": "708-287-4429",
            "fax_number": "708-478-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11935 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677218",
            "telephone_number": "708-287-4429",
            "fax_number": "708-478-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON PHYSIOTHERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "708-287-4429",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Pape, D.D.S
• Ancy Joice Pappan, FNP-C
• Alyssa Pappas, M.S. CCC-SLP
• Michelle Pappas, M.S. CCC-SLP
• Helena Anna Para, DACM
• Mounika Paravastu, DO
• Avery Parchem
• Fran Parise
• John Parise, PHARMD
• Mary Christine Parker-Hoepf, OTR/L

• Physical Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.