Nicholas Vincent Gornick, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.023705 Issued in IL

Practice address

822 S Summit
Villa Park, IL 60181

Phone

(630) 426-1474

NPI assigned

Mar 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Rebuilt PT and Performance PLLC

  • Physical Therapy Clinic/Center
  • Villa Park, IL
  • NPI 1790473296
  NPD Authorized official
• Dupage Medical Group LTD

  • Physical Therapy Clinic/Center
  • Lombard, IL
  • NPI 1316347347
  NPD (past)

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1982162368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE N",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S SUMMIT",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-426-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNICK",
        "first_name": "NICHOLAS",
        "middle_name": "VINCENT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.023705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Goldina
• Kenny Matee Gomolplitinant, D.M.D.
• Paola Bernice Gonzalez Bonet
• Martha Citlaly Gonzalez Davila, PSY D
• Claire Gornick
• Grace Counseling Center NFP
• Kylee Elizabeth Green
• Kenneth Joseph Gregie, D.D.S.
• Holly Catherine Guttersohn, DC
• Gwa Optical LLC

• Physical Therapist in Villa Park, IL
• Providers in Villa Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.