Ave Gay Panganiban

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056011362 Issued in IL

Practice address

333 E Ontario St
Unit 801
Chicago, IL 60611-4804

Phone

(305) 934-6122

NPI assigned

Jan 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1306204839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15874 NE 10TH CT",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331625350",
            "telephone_number": "305-934-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E ONTARIO ST",
            "address_2": "UNIT 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114804",
            "telephone_number": "305-934-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGANIBAN",
        "first_name": "AVE GAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056011362",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Pang
• Sarah Pang, PA-C
• Yanzhen Pang
• Yi Pang, OD
• Anne Jelica Denise Panganiban, DPT
• Karen Panganiban
• Jessica Paniagua, MSW, LCSW
• Alyssa Panici, M.A., CF-SLP
• Shipra Panicker, LCSW
• Jeanine Marie Panico, OTD

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.