Active NPI
Margaret Gonnella, PT, DPT
- Physical Therapist
- Tinley Park, IL
National Provider Identifier
1801615372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.024518
- Practice address
- 18210 La Grange Rd Ste 100
Tinley Park, IL 60487-7723 - Phone
- (708) 429-8700
- NPI assigned
- Oct 10, 2024
- 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 | 070.024518 | IL | Primary |
Addresses
Primary practice location
18210 La Grange Rd Ste 100
Tinley Park, IL 60487-7723
Mailing address
10974 Pioneer TRL
Frankfort, IL 60423-7970
Phone (708) 476-0421
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 |
|---|---|---|---|
| 070.024518 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Rehabilitation Medicine SC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Oak Lawn, IL
- NPI 1104903442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1801615372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10974 PIONEER TRL",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604237970",
"telephone_number": "708-476-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18210 LA GRANGE RD STE 100",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604877723",
"telephone_number": "708-429-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONNELLA",
"first_name": "MARGARET",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.024518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.