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

Maryellen Nardomarino, PT

Individual provider Physical Therapist · NPI 1780773515

Maryellen Nardomarino, PT is a Physical Therapist in Private Practice in Gurnee, Illinois. Qualified in 1996, 30 years ago. Practices with DPT Holdings LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6621 Grand Ave
Gurnee, IL 60031-4591
Phone: (800) 974-4378
Fax: (630) 515-1536
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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 070.009664 (IL)

Record details

NPI number1780773515
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Dpt Holdings Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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