Active NPI
Angelina Tarantello
- Physical Therapist
- Warrenville, IL
National Provider Identifier
1568595072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17751
- Practice address
- 4525 Weaver Pkwy Ste 310
Warrenville, IL 60555-0317 - Phone
- (800) 223-9230
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 5357 | OR | |
| Physical Therapist | 225100000X | 62028625 | NY | |
| Physical Therapist | 225100000X | 17751 | MA | Primary |
Addresses
Primary practice location
4525 Weaver Pkwy Ste 310
Warrenville, IL 60555-0317
Mailing address
32 Patterson Ave
Brantford, ONTARIO N3S6X2
CA
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17751 | MA | MD | Physical Therapist |
| 62028625 | NY | MD | Physical Therapist |
| 5357 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Valley Central School | Past | Accepting new patients | |
| Chautauqua County Chapter of Nysarc Inc | Past | Accepting new patients |
Organizations & group practices 2
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 The Resource Center
- Long Term Care Pharmacy
- Jamestown, NY
- NPI 1427095892
-
- Local Education Agency (LEA)
- South Dayton, NY
- NPI 1750421475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1568595072",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "32 PATTERSON AVE",
"city": "BRANTFORD",
"state": "ONTARIO",
"postal_code": "N3S6X2"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 WEAVER PKWY STE 310",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605550317",
"telephone_number": "800-223-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANTELLO",
"first_name": "ANGELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5357",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62028625",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.