Organization Active NPI

Pathway Home Therapy LLC

  • Occupational Therapist
  • Prospect Heights, IL
National Provider Identifier
1629868831
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PATHWAY HOME THERAPY LLC
Practice address
940 E Old Willow Rd
Prospect Heights, IL 60070-2400
Phone
(347) 702-2888
NPI assigned
May 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Authorized official

Name
Adina GongNPI 1972145209
Title
Owner
Phone
(347) 702-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

940 E Old Willow Rd
Prospect Heights, IL 60070-2400

Mailing address

940 E Old Willow Rd Apt 305
Prospect Heights, IL 60070-2421
Phone (347) 702-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260303003411 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608358270 Receives reassigned benefits from 1 practitioner
Practice locations: Des Plaines, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777680000000",
    "number": "1629868831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E OLD WILLOW RD APT 305",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702421",
            "telephone_number": "347-702-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E OLD WILLOW RD",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702400",
            "telephone_number": "347-702-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HOME THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "ADINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-702-2888"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.