Active NPI
Andrzej Gut
- Physical Therapist
- Wheeling, IL
National Provider Identifier
1962893214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070020777
- Practice address
- 220 N 1St St
Wheeling, IL 60090-2980 - Phone
- (847) 459-8700
- NPI assigned
- Feb 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070020777 | IL | Primary |
Addresses
Primary practice location
220 N 1St St
Wheeling, IL 60090-2980
Mailing address
220 N 1St St
Wheeling, IL 60090-2980
Phone (847) 459-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070020777 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Again, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1962893214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N 1ST ST",
"city": "WHEELING",
"state": "IL",
"postal_code": "600902980",
"telephone_number": "847-459-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N 1ST ST",
"city": "WHEELING",
"state": "IL",
"postal_code": "600902980",
"telephone_number": "847-459-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUT",
"first_name": "ANDRZEJ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070020777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.