Christian Gaubatz, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4401 Roosevelt Rd
Hillside, IL 60162-2031

Phone

(708) 671-0771

Fax

(708) 671-0767

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WCS Occupational Rehabilitation and Sports Medicine, Inc.

  • Physical Therapist
  • Hillside, IL
  • NPI 1225185259
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1790979516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ROOSEVELT RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622031",
            "telephone_number": "708-671-0771",
            "fax_number": "708-671-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUBATZ",
        "first_name": "CHRISTIAN",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "01622333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7454077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Fields
• Aide Fonseca, LCSW
• Michelle Nicole Fry, MA, CRC, LPC
• Christopher Fuller, CEP
• Marni Garfinkel, M.S.
• Genesis Residential Living and Home Healthcare, Inc.
• Georgia Home Service LLC
• Iliana Ivanova Georgieva, MPT
• Girasol Counseling and Wellness Center, PLLC
• Shamika Hall

• Physical Therapist in Hillside, IL
• Providers in Hillside, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.