Individual provider Active NPI

Gabriella Labrizi Sabatino, DC

  • Chiropractor
  • O Fallon, IL
National Provider Identifier
1447552476
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011700 Issued in IL
Practice address
124 Regency Park
Suite 7
O Fallon, IL 62269-1879
Phone
(618) 570-9173
NPI assigned
Nov 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011700 IL Primary

Addresses

Primary practice location

124 Regency Park
Suite 7
O Fallon, IL 62269-1879

Mailing address

124 Regency Park
Suite 7
O Fallon, IL 62269-1879
Phone (618) 570-9173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000861 IL Practitioner - Chiropractic 4082802954 Practice locations: O Fallon, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011700ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
CV-Texas, PLLC Chiropractor Current Accepting new patients
Regency Park Medical Group LLC Chiropractor CurrentSince Jan 1, 2021 Accepting new patients
New Heights Chiropractic Chiropractor PastSince Dec 1, 2010 Accepting new patients

Locations

2250 E Germann Rd
Ste 8
Chandler, AZ 85286

124 Regency Park
Ste 7
O Fallon, IL 62269
Phone (618) 570-9173

Organizations & group practices 3

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": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1447552476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 REGENCY PARK",
            "address_2": "SUITE 7",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691879",
            "telephone_number": "618-570-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 REGENCY PARK",
            "address_2": "SUITE 7",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691879",
            "telephone_number": "618-570-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATINO",
        "first_name": "GABRIELLA",
        "middle_name": "LABRIZI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.