Active NPI
Arpitha Gangaboraiah, PT
- Physical Therapist
- Buffalo Grove, IL
National Provider Identifier
1912468943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070024069
- Practice address
- 1283 W Dundee Rd
Buffalo Grove, IL 60089-4009 - Phone
- (847) 632-9919
- Fax
- (847) 632-9981
- NPI assigned
- Mar 31, 2019
- 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 | 070024069 | IL | Primary |
Addresses
Primary practice location
1283 W Dundee Rd
Buffalo Grove, IL 60089-4009
Mailing address
306 Emerald LN
Algonquin, IL 60102-4208
Phone (630) 917-6116
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1912468943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 EMERALD LN",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601024208",
"telephone_number": "630-917-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1283 W DUNDEE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894009",
"telephone_number": "847-632-9919",
"fax_number": "847-632-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANGABORAIAH",
"first_name": "ARPITHA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-31",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070024069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.