Active NPI
Amanda R Digangi, PT
- Physical Therapist
- Wilmette, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-021772
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228805721 | Medicaid | AR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4461 | AR | MD | Physical Therapist |
| 070-021772 | IL | MD | Physical Therapist |
| 070021772 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Allied Therapy and Consulting Services, PA | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Pediatric Physical Therapist
- Chicago, IL
- NPI 1598163685
-
- Specialist
- North Little Rock, AR
- NPI 1134185937
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.