Individual provider Active NPI

Amanda R Digangi, PT

  • Physical Therapist
  • Wilmette, IL
National Provider Identifier
1932576352
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-021772 Issued in IL
Practice address
3232 Lake Ave
Wilmette, IL 60091-1073
Phone
(224) 266-9411
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070021772 IL
Physical Therapist 225100000X PT4461 AR
Physical Therapist 225100000X 070-021772 IL Primary

Addresses

Primary practice location

3232 Lake Ave
Wilmette, IL 60091-1073

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Other practice location 1

6502 Joliet Rd Ste B
Countryside, IL 60525-4613
Phone (708) 352-0547

Other practice location 2

407 N La Grange Rd
LA Grange Park, IL 60526-5623
Phone (708) 482-9320

Other practice location 3

5532 JFK Blvd
North Little Rock, AR 72116
Phone (501) 588-3211

Other identifiers 1

IdentifierTypeStateIssuer
228805721MedicaidAR

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address adigangi407077@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911001915 IL Practitioner - Physical Therapist in Private Practice 3375850043 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4461ARMDPhysical Therapist
070-021772ILMDPhysical Therapist
070021772ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Oct 17, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 17, 2024 Accepting new patients
Allied Therapy and Consulting Services, PA PastSince May 21, 2023 Accepting new patients
Chicago Pediatric Therapy & Wellness Center, LLC Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1675 W Dempster St
Fl 3
Park Ridge, IL 60068
Phone (847) 318-9330

3232 Lake Ave
Wilmette, IL 60091
Phone (224) 266-9411

Interoperability endpoints

  • Direct secure messaging: adigangi407077@direct.myadvocateaurora.org

Organizations & group practices 5

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1932576352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 LAKE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911073",
            "telephone_number": "224-266-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6502 Joliet Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Countryside",
            "state": "IL",
            "postal_code": "605254613",
            "country_code": "US",
            "telephone_number": "708-352-0547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 N La Grange Rd",
            "address_purpose": "LOCATION",
            "city": "LA Grange Park",
            "state": "IL",
            "postal_code": "605265623",
            "country_code": "US",
            "telephone_number": "708-482-9320",
            "fax_number": "708-482-9760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5532 JFK Blvd",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "72116",
            "country_code": "US",
            "telephone_number": "501-588-3211",
            "fax_number": "501-353-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGANGI",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021772",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4461",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-021772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228805721",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adigangi407077@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3232 Lake Ave",
            "city": "Wilmette",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600911073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3232 Lake Ave",
            "city": "Wilmette",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600911073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

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

Verify at the official NPI Registry.