Active NPI
Gino John, DPT
- Orthopedic Physical Therapist
- Oswego, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070022493
- Practice address
- 1480 Douglas Rd
Oswego, IL 60543-5106 - Phone
- (331) 216-0100
- Fax
- (331) 330-2081
- NPI assigned
- Sep 1, 2016
- Last updated
- Jan 17, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 070022493 | IL | |
| Physical Therapist | 225100000X | 05012862A | IN | |
| Orthopedic Physical Therapist | 2251X0800X | 070022493 | IL | Primary |
Addresses
Primary practice location
1480 Douglas Rd
Oswego, IL 60543-5106
Mailing address
PO Box 416501
Boston, MA 02241-7594
Phone (914) 294-4050
Other practice location 1
15743 Arroyo Dr
Oak Forest, IL 60452-2913
Phone (708) 263-7775
Other practice location 2
7040 Centennial Dr
Tinley Park, IL 60477-1649
Phone (708) 400-8063
Other practice location 3
9445 Calumet Ave
Munster, IN 46321-2811
Phone (219) 836-1060
Other practice location 4
2502 Calumet Ave
Valparaiso, IN 46383-2716
Phone (219) 280-2034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA
Practice addresses (Care Compare)
11275 Delaware Pkwy
Suite B
Crown Point, IN 46307-7812
Phone (219) 663-8766
1480 Douglas Rd
Oswego, IL 60543-5106
Phone (331) 216-0100
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.78 of 100
- Quality
- 53.01
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 60.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012862A | IN | MD | Physical Therapist |
| 070022493 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Home Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Community Care Network Inc | Past | Accepting new patients | |
| Progressive Medical Center SC | Past | Accepting new patients | |
| Progressive Medical Center SC | Past | Accepting new patients |
Locations
204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225
1624 S Route 59
Ste 100
Naperville, IL 60564
Phone (331) 249-4088
1480 Douglas Rd
Oswego, IL 60543
Phone (331) 216-0100
1502 E Main St
St Charles, IL 60174
Phone (630) 797-5658
38 S Main St
Apt A
Sugar Grove, IL 60554
Phone (630) 466-5866
11275 Delaware Pkwy
#B
Crown Point, IN 46307
Phone (219) 304-6074
5 Broadway Plz
Peru, IN 46970
Phone (765) 327-2111
2502 Calumet Ave
Valparaiso, IN 46383
Phone (219) 280-2034
10787 Randolph St
Ste 220
Winfield, IN 46307
Phone (219) 333-5900
Interoperability endpoints
- https://api.platform.athenahealth.com/20980/brand/1/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Axes Physical Therapy
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- Clinton, IL
- NPI 1376917187
-
- Physical Therapist
- Peru, IN
- NPI 1750764494
-
- Orthopaedic Surgery Physician
- Schererville, IN
- NPI 1104823848
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Internal Medicine Physician
- Addison, IL
- NPI 1629128319
-
- Internal Medicine Physician
- Addison, IL
- NPI 1851464549
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1548717010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416501",
"city": "BOSTON",
"state": "MA",
"postal_code": "022417594",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 DOUGLAS RD",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605435106",
"telephone_number": "331-216-0100",
"fax_number": "331-330-2081"
}
],
"practiceLocations": [
{
"address_1": "15743 Arroyo Dr",
"address_purpose": "LOCATION",
"city": "Oak Forest",
"state": "IL",
"postal_code": "604522913",
"country_code": "US",
"telephone_number": "708-263-7775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7040 Centennial Dr",
"address_purpose": "LOCATION",
"city": "Tinley Park",
"state": "IL",
"postal_code": "604771649",
"country_code": "US",
"telephone_number": "708-400-8063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9445 Calumet Ave",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463212811",
"country_code": "US",
"telephone_number": "219-836-1060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2502 Calumet Ave",
"address_purpose": "LOCATION",
"city": "Valparaiso",
"state": "IN",
"postal_code": "463832716",
"country_code": "US",
"telephone_number": "219-280-2034",
"fax_number": "219-200-3825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN",
"first_name": "GINO",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "070022493",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012862A",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070022493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.