Gina Pongetti Angeletti, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013170 Issued in IL

Practice address

7055 High Grove Blvd
Burr Ridge, IL 60527-7593

Phone

(630) 371-1623

Fax

(630) 371-1546

NPI assigned

Jun 12, 2006

Sex

Female

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 1

Other names 1

• Gina Marie Pongetti Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Achieve Orthopedic Sports Institute LLCGroup PAC ID 6507129673, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Achieve Orthopedic Sports Institute, LLC

  • Physical Therapy Clinic/Center
  • Willowbrook, IL
  • NPI 1376066753
  Medicare reassignment Care Compare group NPD
• Achieve Orthopedic Rehabilitation Institute,Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1053331447
  Medicare reassignment NPD
• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)
• Accelerated Rehabilitation Centers, LTD

  • Physical Therapist
  • Roscoe, IL
  • NPI 1043604184
  NPD (past)
• Advanced Rehabilitation Clinics, Inc

  • Physical Therapy Clinic/Center
  • Oak Brook, IL
  • NPI 1356394852

  Physical Therapist

  NPD (past)
• First Venture Rehabilitation Clinics, LLC

  • Physical Therapy Clinic/Center
  • Westmont, IL
  • NPI 1255491171
  NPD (past)
• Occusport Services Inc.

  • Physical Therapist
  • Lockport, IL
  • NPI 1952350886
  NPD (past)
• South Suburban Open MRI of Orland, LLC

  • Radiology Clinic/Center
  • Orland Hills, IL
  • NPI 1881639425
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1851333694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WALTON ST",
            "address_2": "SUITE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111448",
            "telephone_number": "312-642-3963",
            "fax_number": "312-642-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277593",
            "telephone_number": "630-371-1623",
            "fax_number": "630-371-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELETTI",
        "first_name": "GINA",
        "middle_name": "PONGETTI",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1623066",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "PONGETTI",
            "middle_name": "MARIE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bimbola Mufliat Amoranbini, PMHNP
• Ams Wellness PLLC
• John Anastasi, MD
• Candice Sue Anderson, MD
• Maria Anderson
• Colleen Antczak, MS CCC SLP/L
• Apex Cardiology MDSC
• Jeffrey L Apfelbaum, MD
• Rena Beth Appleby
• Desiree Aramburu, AUD

• Physical Therapist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.