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

Mr. Garry Gabionza Tagle, PT

Individual provider Physical Therapist · NPI 1629303607

Mr. Garry Gabionza Tagle, PT is a Physical Therapist in Private Practice in Oak Park, Illinois. Qualified in 1998, 28 years ago. Practices with Direct Access Therapy Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2009
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

221 N Marion St Unit 1A
Oak Park, IL 60302-1936
Phone: (708) 386-0136
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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 070013388 (IL)

Record details

NPI number1629303607
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 9, 2009
Last updated in NPPESOctober 9, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Direct Access Therapy Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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