Active NPI
Mary Ann Gasior, P.T.
- Physical Therapist
- Clarendon Hills, IL
National Provider Identifier
1831248343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070004339
- Practice address
- 81 Norfolk Ave
Clarendon Hills, IL 60514-1242 - Phone
- (773) 909-1185
- Fax
- (630) 522-4759
- NPI assigned
- Jan 10, 2007
- Last updated
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070004339 | IL | Primary |
| Developmental Therapist | 222Q00000X | IL |
Addresses
Primary practice location
81 Norfolk Ave
Clarendon Hills, IL 60514-1242
Mailing address
81 Norfolk Ave
Clarendon Hills, IL 60514-1242
Phone (773) 909-1185
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 |
|---|---|---|---|
| 070004339 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acn Inc. | Developmental Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1831248343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 NORFOLK AVE",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605141242",
"telephone_number": "773-909-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 NORFOLK AVE",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605141242",
"telephone_number": "773-909-1185",
"fax_number": "630-522-4759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASIOR",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070004339",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarendon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.