Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anton Dominic Tamayo Urgello, DPT

Individual provider Physical Therapist · NPI 1477063311

Anton Dominic Tamayo Urgello, DPT is a Physical Therapist in Private Practice in Western Springs, Illinois. Qualified in 2017, 9 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois and Oklahoma.

Years since qualifying
9
Licensed in
IL, OK
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4700 Gilbert Ave Ste 43A
Western Springs, IL 60558-1670
Phone: (708) 783-1044
Fax: (708) 783-1048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-027641 (IL)
Physical Therapist Taxonomy 225100000X · Licence 5387 (OK)

Record details

NPI number1477063311
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 5, 2017
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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