Gabriella Marie Danta, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.009948 Issued in IL

Practice address

4061 W 95TH St
Oak Lawn, IL 60453-2611

Phone

(708) 690-6639

NPI assigned

Sep 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1689450017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W FAY AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532611",
            "telephone_number": "708-690-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTA",
        "first_name": "GABRIELLA",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.009948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satinder Pal Singh Dalawari, MD
• Ousama Dallal, M.D.
• Beth Ann Damas, D.D.S., MS
• Angela Danaher
• Christian Dannhausen-Brun, M.D.
• Joanna Dante
• Agnieszka Paulina Darling, LBS II
• Caitlin Darrell, MD
• Antra Das, MD
• Michael D Dastice, MD

• Physical Therapy Assistant in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.