Individual provider Active NPI

Gino John, DPT

  • Orthopedic Physical Therapist
  • Oswego, IL
National Provider Identifier
1548717010
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070022493 Issued in IL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180622002732 IN Practitioner - Physical Therapist in Private Practice 0446505960 Reassigns benefits to 2 organizations
I20230830001474 IL Practitioner - Physical Therapist in Private Practice 0446505960 Reassigns benefits to 1 organization

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 PAGroup PAC ID 7012997638, shared by 6 NPIs, 385 clinicians

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 100Reported as group
Quality
53.01
Promoting interoperability
99
Improvement activities
40
Cost
60.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05012862AINMDPhysical Therapist
070022493ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Home Therapy, Inc. Physical Therapist CurrentSince Oct 21, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC Physical Medicine & Rehabilitation CurrentSince Jan 17, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Community Care Network Inc PastSince Aug 1, 2023 Accepting new patients
Progressive Medical Center SC Past Accepting new patients
Progressive Medical Center SC PastSince Aug 4, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.