Active NPI
Anthony Garofalo Jr., ATC
- Specialist
- Barrington, IL
National Provider Identifier
1427025543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 096-000023
- Practice address
- 111 Lions Dr
Ste 212
Barrington, IL 60010-3182 - Phone
- (847) 381-0372
- Fax
- (847) 381-4529
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 096-000023 | IL | Primary |
Addresses
Primary practice location
111 Lions Dr
Ste 212
Barrington, IL 60010-3182
Mailing address
2902 Exeter CT
West Dundee, IL 60118-1724
Phone (847) 528-2841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096-000023 | Other | IL | ATHLETIC TRAINER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096-000023 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation Centers, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Roscoe, IL
- NPI 1043604184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1427025543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 EXETER CT",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601181724",
"telephone_number": "847-528-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LIONS DR",
"address_2": "STE 212",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600103182",
"telephone_number": "847-381-0372",
"fax_number": "847-381-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROFALO",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "096-000023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER",
"identifier": "096-000023",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.