Active NPI
Bhairavi Kirti Thakkar, MS, CCC-SLP
- Speech-Language Pathologist
- Naperville, IL
National Provider Identifier
1063780385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146010048
- Practice address
- 648 N River Rd Ste 102
Naperville, IL 60563-8968 - Phone
- (331) 247-7322
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146010048 | IL | Primary |
Addresses
Primary practice location
648 N River Rd Ste 102
Naperville, IL 60563-8968
Mailing address
424 Birmingham LN
Schaumburg, IL 60193-3167
Phone (570) 317-3436
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146010048 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1063780385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 BIRMINGHAM LN",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933167",
"telephone_number": "570-317-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 N RIVER RD STE 102",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638968",
"telephone_number": "331-247-7322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKAR",
"first_name": "BHAIRAVI",
"middle_name": "KIRTI",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146010048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.