Individual provider Active NPI

Hala M Gomaa, LPT

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1942249305
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4647 W 103Rd St
Ste. #2L
Oak Lawn, IL 60453-4779
Phone
(708) 425-9466
Fax
(708) 425-3422
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

4647 W 103Rd St
Ste. #2L
Oak Lawn, IL 60453-4779

Mailing address

4647 W 103Rd St
Ste. #2E
Oak Lawn, IL 60453-4779
Phone (708) 425-9466

Other identifiers 1

IdentifierTypeStateIssuer
P00228429OtherILRAILROAD MEDICARE PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000933 IL Practitioner - Physical Therapist in Private Practice 0648212894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curing Physical Therapy PCGroup PAC ID 2062491814, 2 clinicians

Practice addresses (Care Compare)

4647 W 103Rd St
Suite 2E
Oak Lawn, IL 60453-4793
Phone (708) 425-3466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curing Physical Therapy PC Physical Therapist PastSince Feb 1, 2005 Accepting new patients

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1942249305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "address_2": "STE. #2E",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779",
            "telephone_number": "708-425-9466",
            "fax_number": "708-425-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "address_2": "STE. #2L",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779",
            "telephone_number": "708-425-9466",
            "fax_number": "708-425-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMAA",
        "first_name": "HALA",
        "middle_name": "M",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00228429",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.