NPIMap

Organization Active NPI

Gateway Rehabilitation Taylorville LLC

  • Physical Therapy Clinic/Center
  • Taylorville, IL
National Provider Identifier
1306946777
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GATEWAY REHABILITATION TAYLORVILLE LLC
Practice address
301-305 S Webster
Taylorville, IL 62568
Phone
(618) 258-9093
Fax
(618) 258-9097
NPI assigned
Sep 25, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mr. Larry D Hawkins, LPTNPI 1437115045
Title
Partner
Phone
(618) 258-9093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

301-305 S Webster
Taylorville, IL 62568

Mailing address

935 E Airline Dr
East Alton, IL 62024
Phone (618) 258-9093

National Provider Directory

National Provider Directory

Locations

301 S Webster St
#305
Taylorville, IL 62568
Phone (618) 258-9093

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1306946777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E AIRLINE DR",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "62024",
            "telephone_number": "618-258-9093",
            "fax_number": "618-258-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301-305 S WEBSTER",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "62568",
            "telephone_number": "618-258-9093",
            "fax_number": "618-258-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY REHABILITATION TAYLORVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "618-258-9093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

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

Verify at the official NPI Registry.