Individual provider Active NPI

Geoffrey J Gentry, PT

  • Physical Therapist
  • Harvard, IL
National Provider Identifier
1831275379
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.010571 Issued in IL
Practice address
109 W Front St
Harvard, IL 60033-2833
Phone
(312) 804-9332
Fax
(815) 943-0196
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.010571 IL Primary

Addresses

Primary practice location

109 W Front St
Harvard, IL 60033-2833

Mailing address

12172 S State Route 47 Ste 319
Huntley, IL 60142-9619
Phone (312) 804-9332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000440 IL Practitioner - Physical Therapist in Private Practice 5698660132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moffett Physical Therapy, Inc.Group PAC ID 7012964893, 3 clinicians

Practice addresses (Care Compare)

9551 Ackman Rd
Lake in the Hills, IL 60156-9709
Phone (847) 669-8800

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
92.42
Improvement activities
40
Cost
72.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.010571ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moffett Physical Therapy, Inc. Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Midwest Rehabilitation Group Inc Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Reba Investments LLC Physical Therapist CurrentSince Dec 5, 2024 Accepting new patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 5, 2024 Accepting new patients
Harvard Physical Therapy Physical Therapist PastSince Dec 1, 2004 Accepting new patients
Moffett Physical Therapy PastSince May 6, 2024 Accepting new patients
Moffett Physical Therapy, Inc. Past Accepting new patients
Orthopedic Associates of Naperville SC PastSince Oct 24, 2007 Accepting new patients

Locations

6921 W Archer Ave
Chicago, IL 60638
Phone (773) 586-2768

133 W Oak Knoll Dr
Hampshire, IL 60140
Phone (847) 683-5100

109 W Front St
Harvard, IL 60033
Phone (815) 943-0191

2500 W Higgins Rd
Ste 370
Hoffman Estates, IL 60169
Phone (847) 895-2910

12531 Regency Pkwy
Huntley, IL 60142
Phone (847) 659-1000

115 N La Grange Rd
Ste B
La Grange, IL 60525
Phone (708) 303-0100

9551 Ackman Rd
Lake in the Hills, IL 60156
Phone (847) 669-8800

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1831275379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12172 S STATE ROUTE 47 STE 319",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429619",
            "telephone_number": "312-804-9332",
            "fax_number": "815-943-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W FRONT ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600332833",
            "telephone_number": "312-804-9332",
            "fax_number": "815-943-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "GEOFFREY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.010571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.