Individual provider Active NPI

Gail Ferrebee, PT

  • Orthopedic Physical Therapist
  • Bourbonnais, IL
National Provider Identifier
1922010990
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
1230 N Convent St
Suite a
Bourbonnais, IL 60914-1474
Phone
(815) 935-8782
Fax
(815) 935-8799
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X IL Primary

Addresses

Primary practice location

1230 N Convent St
Suite a
Bourbonnais, IL 60914-1474

Mailing address

1230 N Convent St
Suite a
Bourbonnais, IL 60914-1474
Phone (815) 935-8782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000274 IL Practitioner - Physical Therapist in Private Practice 8527080928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Center LTDGroup PAC ID 8628090024, 2 clinicians

Practice addresses (Care Compare)

1230 N Convent St
Suite a
Bourbonnais, IL 60914-1473
Phone (815) 935-8782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-004421ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Center LTD Orthopedic CurrentSince Nov 11, 1992 Accepting new patients
Midwest Rehabilitation Group Inc Orthopedic PastSince Apr 21, 1993 Accepting new patients

Locations

1230 N Convent St
Ste A
Bourbonnais, IL 60914
Phone (815) 935-8782

Organizations & group practices 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1922010990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N CONVENT ST",
            "address_2": "SUITE A",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141474",
            "telephone_number": "815-935-8782",
            "fax_number": "815-935-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N CONVENT ST",
            "address_2": "SUITE A",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141474",
            "telephone_number": "815-935-8782",
            "fax_number": "815-935-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREBEE",
        "first_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.