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

Dr. Rosen Gerald Gavino

Individual provider Physical Therapist · NPI 1174559058

Dr. Rosen Gerald Gavino is a Physical Therapist in Private Practice in Lisle, Illinois. Qualified in 2005, 21 years ago. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2006

Practice location Address checks out

1026 Maple Ave
Lisle, IL 60532-2329
Phone: (630) 434-0271
Fax: (630) 434-0938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070014696 (IL)

Record details

NPI number1174559058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lisle