Gregory Given, PT, MHS, SCS, ATC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

070.008697 Issued in IL

Practice address

407 E Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3602

Phone

(815) 477-8004

Fax

(815) 477-8005

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empower Advanced Therapy

  • Rehabilitation Clinic/Center
  • Crystal Lake, IL
  • NPI 1245942556

  Sports

  NPD
• Marengo Physical Therapy, Inc.

  • Rehabilitation Clinic/Center
  • Marengo, IL
  • NPI 1881792737
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1720166655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E TERRA COTTA AVE STE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143602",
            "telephone_number": "815-477-8004",
            "fax_number": "815-477-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E TERRA COTTA AVE STE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143602",
            "telephone_number": "815-477-8004",
            "fax_number": "815-477-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVEN",
        "first_name": "GREGORY",
        "credential": "PT, MHS, SCS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IL",
            "license": "070.008697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "096000712",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K46919",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Stanley Giese, MD
• Kaitlin C. Gillespie, DPT
• Brizza Celeste Gillette, DNP- PMHNP-BC
• Sean Patrick Gilmore, DC
• Given Sports & Physical Therapy, P.C.
• Marina Gladson, MD
• Nicole A Glinski, B.S, COTA/L
• Globa Medicare Inc
• Global Med Pro LLC
• Godfrey V. Viegas DPM, Foot and Ankle Center, Inc.

• Sports Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Sports Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.