Individual provider Active NPI

Sahil Gandhi, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1295188258
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070023663 Issued in IL
Practice address
819 W Blackhawk St Ste 819-B
Chicago, IL 60642
Phone
(312) 376-8801
Fax
(312) 376-8802
NPI assigned
Jul 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT31363 FL
Physical Therapist 225100000X 070023663 IL Primary

Addresses

Primary practice location

819 W Blackhawk St Ste 819-B
Chicago, IL 60642

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Other practice location 1

3010 East 138th Avenue #1
Tampa, FL 33613
Phone (813) 805-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160824001692 FL Practitioner - Physical Therapist in Private Practice 2769777143 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County CurrentSince Aug 17, 2020 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 10, 2022 Accepting new patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Aug 17, 2020 Accepting new patients
Saylor Physical Therapy of Lake Mary LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

307 Cranes Roost Blvd
Ste 2040
Altamonte Springs, FL 32701
Phone (407) 807-7129

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

925 Williston Park Pt
Ste 1001
Lake Mary, FL 32746
Phone (407) 732-6926

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1295188258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W BLACKHAWK ST STE 819-B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60642",
            "telephone_number": "312-376-8801",
            "fax_number": "312-376-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 East 138th Avenue #1",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33613",
            "country_code": "US",
            "telephone_number": "813-805-8102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SAHIL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT31363",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.