Adina Gong

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.015879 Issued in IL

Practice address

940 E Old Willow Rd Apt 305
Prospect Heights, IL 60070-2421

Phone

(347) 702-2888

NPI assigned

Oct 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pathway Home Therapy LLC

  • Occupational Therapist
  • Prospect Heights, IL
  • NPI 1629868831
  Medicare reassignment NPD Authorized official
• Illinois Home Therapy LLC

  • Physical Therapist
  • Skokie, IL
  • NPI 1114506102

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1972145209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E OLD WILLOW RD APT 305",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702421",
            "telephone_number": "347-702-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E OLD WILLOW RD APT 305",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702421",
            "telephone_number": "347-702-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 E Colorado Blvd Ste 560",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062380",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950A Union Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142243465",
            "country_code": "US",
            "telephone_number": "818-241-6780 x145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28100 Torch Pkwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605554030",
            "country_code": "US",
            "telephone_number": "630-413-5817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONG",
        "first_name": "ADINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015879",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028812",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005748",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Villa, M.D., S.C.
• Letitia Fabian, APN-CNP
• Alexander Fedorov, D.C.
• Madalyn Sharon Flynn
• Yevgenia Gavrielov
• April Goocher, PHARMD
• Polina Goridko-Esquivel
• Kristen E Hackel, DPT
• Pamela Joyce Haerr
• Hazen Chiropractic Clinic

• Occupational Therapist in Prospect Heights, IL
• Providers in Prospect Heights, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.