Active NPI
Prerna Bodalia, DPT, PT
- Physical Therapist
- Downers Grove, IL
National Provider Identifier
1124459821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070020434
- Practice address
- 2901 Finley Rd
Suite 101
Downers Grove, IL 60515-1041 - Phone
- (630) 792-1800
- NPI assigned
- Dec 5, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070020434 | IL | Primary |
Addresses
Primary practice location
2901 Finley Rd
Suite 101
Downers Grove, IL 60515-1041
Mailing address
7715 Crawford Ave
Skokie, IL 60076-3631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones for Kids Success, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Downers Grove, IL
- NPI 1598821308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1124459821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7715 CRAWFORD AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 FINLEY RD",
"address_2": "SUITE 101",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151041",
"telephone_number": "630-792-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODALIA",
"first_name": "PRERNA",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070020434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.