Active NPI
Hetal S Kulkarni, PT, MS
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019149
- Practice address
- 1733 W Crystal St Unit D
Chicago, IL 60622-8801 - Phone
- (317) 979-5242
- NPI assigned
- May 27, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501015197 | MI | |
| Physical Therapist | 225100000X | 070019149 | IL | Primary |
Addresses
Primary practice location
1733 W Crystal St Unit D
Chicago, IL 60622-8801
Mailing address
1733 W Crystal St Unit D
Chicago, IL 60622-8801
Phone (317) 979-5242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070019149 | Other | IL | PHYSICAL THERAPY LICENSE |
| 5501015197 | Other | MI | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2930 S Michigan Ave
Suite 107
Chicago, IL 60616-3270
Phone (312) 842-3919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015197 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
| Rci (WRS), LLC. | Current | Accepting new patients | |
| Rci (WRS), LLC | Current | Accepting new patients |
Locations
2930 S Michigan Ave
Ste 107
Chicago, IL 60616
Phone (312) 842-3919
1804 Centre Point Cir
Ste 102
Naperville, IL 60563
Phone (630) 955-1940
9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Mokena, IL
- NPI 1568160950
-
- Rehabilitation Clinic/Center
- Gurnee, IL
- NPI 1487268553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1184943300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 W CRYSTAL ST UNIT D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228801",
"telephone_number": "317-979-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 W CRYSTAL ST UNIT D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228801",
"telephone_number": "317-979-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULKARNI",
"first_name": "HETAL",
"middle_name": "S",
"credential": "PT, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015197",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "070019149",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "5501015197",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.