Hetalben Ashish Mehta

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021972 Issued in IL

Practice address

289 Woodstone Cir
Buffalo Grove, IL 60089-6702

Phone

(224) 436-4489

NPI assigned

Jan 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Illinois Luna Care Physical Therapy LLC

  • Physical Therapist
  • Naperville, IL
  • NPI 1033755566
  Medicare reassignment NPD
• Total Rehab PC

  • Physical Therapist
  • Roselle, IL
  • NPI 1629249917
  NPD (past)

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1013374677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 WOODSTONE CIR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896702",
            "telephone_number": "224-436-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WOODSTONE CIR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896702",
            "telephone_number": "224-436-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "HETALBEN",
        "middle_name": "ASHISH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030661",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mediderm Inc.
• Medovate LLC
• Medtec Medical Inc
• Medyssey USA Inc
• Anuj Kamlesh Mehta
• Melina Mehta
• Michael Phillip Melnick, M.D.
• Saniya Merchant, OD
• Lindsay Merlotti, MD
• Dylan Meyerhofer

• Physical Therapist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.