Gateway Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GATEWAY PHYSICAL THERAPY, LLC

Practice address

2560 Hauser Ross Dr
Suite 400
Sycamore, IL 60178-3150

Phone

(815) 991-2021

Fax

(815) 899-3332

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Tina L Starkweather, DPM

Title

Managing Member

Phone

(815) 991-2021

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamison D Allen, D.O.

  • Family Medicine Physician
  • Sycamore, IL
  • NPI 1184614760
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1962724864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR",
            "address_2": "SUITE 400",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783150",
            "telephone_number": "815-991-2021",
            "fax_number": "815-899-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR",
            "address_2": "SUITE 400",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783150",
            "telephone_number": "815-991-2021",
            "fax_number": "815-899-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "STARKWEATHER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "815-991-2021",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Gandhi, ARNP
• Liliana Garcia-Kantola, RBT-20-121371
• Andrew Garcia
• Elizabeth Ann Garcia, PH.D.
• Geovanny Javier Garcia, LSW
• Karen Joanne Geist
• Genesis Pediatric Medicine, LLC
• George Gonnella DO LLC
• Michelle L. Gesing, PSYD
• Jamie Gibson, APN, NP-C

• Physical Therapist in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.