Gemmy H Ambatt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-022807 Issued in IL

Practice address

430 Milwaukee Ave
Suite Aa
Lincolnshire, IL 60069-3015

Phone

(847) 821-8300

Fax

(847) 821-9300

NPI assigned

Mar 1, 2017

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians

Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Illinois Luna Care Physical Therapy LLC

  • Physical Therapist
  • Naperville, IL
  • NPI 1033755566
  Medicare reassignment Care Compare group NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Oak Park, IL
  • NPI 1063784148
  Medicare reassignment Care Compare group NPD
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  Medicare reassignment NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336808146
  NPD

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1306386909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "address_2": "SUITE AA",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-821-8300",
            "fax_number": "847-821-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBATT",
        "first_name": "GEMMY",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-022807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Ahmad, M.D.
• Ahn Orthodontics, Inc
• Eun Jeong Ahn
• Nicoletta Alexopoulos
• Jennifer Allen
• Ameda, Inc.
• Christine C Andersen, M.A., CCC-SLP
• Andrea Watkins LCSW
• Anne M Nathan PSYD LLC
• Arthur S Weinfeld & Assoc PC

• Physical Therapist in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.