Pallavi Gangupantula, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

70014470 Issued in IL

Practice address

600 Spring Hill Ring Road,Suite 118
West Dundee, IL 60118

Phone

(312) 494-8957

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871703595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 SOUTHWICKE DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING ROAD,SUITE 118",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "60118",
            "telephone_number": "312-494-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGUPANTULA",
        "first_name": "PALLAVI",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70014470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Forbes, D.D.S.,P.C.
• Carmen T Fotso-Kouatchou, MD
• Rosemary Frank
• Hong Zhang Frankel, M.D.
• Sierra Franklin, RBT
• Monica E Gavran, MD
• George F Deihs III DDS PC
• Benjamin Michael Gesing, PSYD
• Paul Getz, MD
• Julie A Glass, LCSW

• Physical Therapist in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Physical Therapist in Illinois

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