Active NPI
Yvonne Gagliano, P.T.
- Physical Therapist
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6332
- Practice address
- 407 E Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3602 - Phone
- (847) 766-0011
- Fax
- (847) 999-6722
- NPI assigned
- Mar 17, 2006
- Last updated
- Nov 14, 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 | 6332 | AZ | Primary |
Addresses
Primary practice location
407 E Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3602
Mailing address
407 E Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3602
Phone (847) 766-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100517000190 | IL | Practitioner - Physical Therapist in Private Practice | 0749264364 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Given Sports & Physical Therapy, P.C. | Current | Accepting new patients | |
| Titan Medical Associates LTD. | Current | Accepting new patients | |
| Orthosports Physical Therapy | Past | Accepting new patients | |
| Arizona Orthosports Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Advanced Physical Medicine & Rehabilitation LTD | Past | Accepting new patients |
Locations
407 E Terra Cotta Ave
Ste E
Crystal Lake, IL 60014
Phone (815) 477-8004
999 W Main St
Ste 100
West Dundee, IL 60118
Phone (224) 535-8707
Organizations & group practices 6
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.
-
- Rehabilitation Clinic/Center
- Crystal Lake, IL
- NPI 1245942556
-
- Physical Therapy Clinic/Center
- Crystal Lake, IL
- NPI 1053506451
-
- Clinic/Center
- West Dundee, IL
- NPI 1407571664
-
dba Advanced Physical Medicine & Rehab
- Chiropractor
- Hoffman Estates, IL
- NPI 1659394914
-
- Physical Therapist
- Surprise, AZ
- NPI 1467511246
-
- Physical Therapy Clinic/Center
- Glendale, AZ
- NPI 1265808240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1881653020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 E TERRA COTTA AVE STE E",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143602",
"telephone_number": "847-766-0011",
"fax_number": "847-999-6722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E TERRA COTTA AVE STE E",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143602",
"telephone_number": "847-766-0011",
"fax_number": "847-999-6722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIANO",
"first_name": "YVONNE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.