Individual provider Active NPI

Bharatbhushan M Kalra, LICENSED M.T.

  • Massage Therapist
  • Hoffman Estates, IL
National Provider Identifier
1134487614
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.012439 Issued in IL
Practice address
757 W Bode Cir
Apt. 201
Hoffman Estates, IL 60169-2973
Phone
(940) 389-9284
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.012439 IL Primary

Addresses

Primary practice location

757 W Bode Cir
Apt. 201
Hoffman Estates, IL 60169-2973

Mailing address

757 W Bode Cir
Apt. 201
Hoffman Estates, IL 60169-2973
Phone (940) 389-9284

Other identifiers 1

IdentifierTypeStateIssuer
227.012439OtherILILLINOIS STATE LICENSE NUMBER

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
Medical Technician

State licenses

LicenseStateTypeSpecialty
227.012439ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1134487614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 W BODE CIR",
            "address_2": "APT. 201",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692973",
            "telephone_number": "940-389-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 W BODE CIR",
            "address_2": "APT. 201",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692973",
            "telephone_number": "940-389-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALRA",
        "first_name": "BHARATBHUSHAN",
        "middle_name": "M",
        "credential": "LICENSED M.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.012439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE NUMBER",
            "identifier": "227.012439",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.