Active NPI
Anthony Stuart Gravin, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.021832
- Practice address
- 412 W 31St St
Chicago, IL 60616-3116 - Phone
- (312) 225-3119
- NPI assigned
- Sep 29, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 070.021832 | IL | Primary |
Addresses
Primary practice location
412 W 31St St
Chicago, IL 60616-3116
Mailing address
1419 W George St
Chicago, IL 60657-4103
Phone (916) 505-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9852 Business Park Dr
Suite a
Sacramento, CA 95827-1709
Phone (916) 362-7962
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.57 of 100
- Quality
- 38.31
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.21 of 100
- Quality
- 38.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.021832 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Western Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Western Physical Therapy Inc | Current | Accepting new patients |
Locations
450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781
1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104
5525 Dewey Dr
Ste 202
Fair Oaks, CA 95628
Phone (916) 536-9130
1516 State Highway 99
Ste G
Gridley, CA 95948
Phone (530) 846-8018
14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142
10255 Live Oak Blvd
Live Oak, CA 95953
Phone (530) 695-3700
6125 King Rd
Ste 102
Loomis, CA 95650
Phone (916) 652-5700
7281 Lone Pine Dr
Ste D103
Rancho Murieta, CA 95683
Phone (916) 354-0719
9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962
1020 29th St
Ste 340
Sacramento, CA 95816
Phone (916) 980-8858
1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180
5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089
1528 Plumas Ct
Ste 200
Yuba City, CA 95991
Phone (530) 434-6256
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
-
- Physical Therapy Clinic/Center
- Colusa, CA
- NPI 1740216332
Physical Therapist
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Physical Therapy Clinic/Center
- Redding, CA
- NPI 1306215850
-
- Physical Therapist
- Chico, CA
- NPI 1598632697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1649640988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 W GEORGE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574103",
"telephone_number": "916-505-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 W 31ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163116",
"telephone_number": "312-225-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVIN",
"first_name": "ANTHONY",
"middle_name": "STUART",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.021832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.