Active NPI
Gauri Hemgude, MSCPT
- Physical Therapist
- Peoria, IL
National Provider Identifier
1598206369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019872
- Practice address
- 7215 N Rockvale Dr
#304
Peoria, IL 61614-1085 - Phone
- (309) 265-3108
- NPI assigned
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070019872 | IL | Primary |
Addresses
Primary practice location
7215 N Rockvale Dr
#304
Peoria, IL 61614-1085
Mailing address
7215 N Rockvale Dr
#304
Peoria, IL 61614-1085
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070019872 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1598206369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 N ROCKVALE DR",
"address_2": "#304",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7215 N ROCKVALE DR",
"address_2": "#304",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141085",
"telephone_number": "309-265-3108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMGUDE",
"first_name": "GAURI",
"credential": "MSCPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.