Active NPI
Lakshmisowjanya Nallamilli
- Physical Therapist
- Westmont, IL
National Provider Identifier
1063013746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070017398
- Practice address
- 865 N Cass Ave
Westmont, IL 60559-6404 - Phone
- (630) 400-8073
- NPI assigned
- Nov 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070017398 | IL | Primary |
Addresses
Primary practice location
865 N Cass Ave
Westmont, IL 60559-6404
Mailing address
11639 Millennium Pkwy
Plainfield, IL 60585-5185
Phone (847) 448-0236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604793600000",
"number": "1063013746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11639 MILLENNIUM PKWY",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605855185",
"telephone_number": "847-448-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 N CASS AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596404",
"telephone_number": "630-400-8073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALLAMILLI",
"first_name": "LAKSHMISOWJANYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-08",
"last_updated": "2020-11-08",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070017398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.