Gagan Deep Deep Bhatia
Individual provider Active NPI Physical Therapist · Normal, IL
NPI 1558083063 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1558083063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 509 N Adelaide St
Normal, IL 61761-2422 - Phone
- (309) 452-7468
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Wellness Kansas City, LLC
Empowerme Rehabilitation Illinois LLC
Practice addresses (Care Compare)
1021 W E St
Belleville, IL 62220-1055
Phone (618) 573-3402
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251210000929 | IL | Practitioner - Physical Therapist in Private Practice | 7214421064 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients | |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
509 N Adelaide St
Normal, IL 61761-2422
Mailing address
509 N Adelaide St
Normal, IL 61761-2422
Other providers in Normal, IL
- Jay M Bersche
- Debbie Bessent
- Arely Betancourt
- Sheri Bettis
- Rebecca Beucher
- Sumit Bhatia
- Madeline Biehl
- Robin Billingsley
- Dena Binegar
- Bailey A Birditt
All providers in Normal, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.