Active NPI
Diane K Gossett
- Physical Therapist
- Palos Hills, IL
National Provider Identifier
1780953653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.002567
- Practice address
- 10330 S Roberts Rd
Palos Hills, IL 60465-1971 - Phone
- (708) 237-7200
- NPI assigned
- Dec 22, 2011
- Sex
- Female
- 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 | 070.002567 | IL | Primary |
Addresses
Primary practice location
10330 S Roberts Rd
Palos Hills, IL 60465-1971
Mailing address
346 S. Catherine Avenue
Lagrange, IL 60525
Phone (708) 482-7646
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 |
|---|---|---|---|
| 070.002567 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1780953653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 S. CATHERINE AVENUE",
"city": "LAGRANGE",
"state": "IL",
"postal_code": "60525",
"telephone_number": "708-482-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 S ROBERTS RD",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651971",
"telephone_number": "708-237-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSETT",
"first_name": "DIANE",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.002567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.