Individual provider Active NPI

Sultan A Budhwani, PT, DPT, OCS

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1235672288
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021683 Issued in IL
Practice address
1801 W Taylor St
Chicago, IL 60612-4795
Phone
(312) 355-4394
NPI assigned
Nov 23, 2016
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070021683 IL Primary

Addresses

Primary practice location

1801 W Taylor St
Chicago, IL 60612-4795

Mailing address

9125 Harlem Ave
Morton Grove, IL 60053-2068

Other practice location 1

9125 Harlem Ave
Morton Grove, IL 60053-2068
Phone (847) 644-1637

Other practice location 2

9545 Terrace Pl
Des Plaines, IL 60016-3909
Phone (847) 261-4024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214000029 IL Practitioner - Physical Therapist in Private Practice 9830459759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070021683ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC CurrentSince Apr 5, 2025 Accepting new patients
Strengthlab Physical Therapy LLC Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Premise Health of Illinois Medical PC Current Accepting new patients
DPT Holdings, LLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

20 S Clark St
Ste 1020
Chicago, IL 60603
Phone (312) 368-8400

6150 Joliet Rd
Countryside, IL 60525
Phone (708) 485-2273

4179 Dundee Rd
Ste A106
Northbrook, IL 60062
Phone (847) 402-2300

5500 Maryland Way
Ste 120
Brentwood, TN 37027

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1235672288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 HARLEM AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-355-4394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9125 Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Morton Grove",
            "state": "IL",
            "postal_code": "600532068",
            "country_code": "US",
            "telephone_number": "847-644-1637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9545 Terrace Pl",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600163909",
            "country_code": "US",
            "telephone_number": "847-261-4024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDHWANI",
        "first_name": "SULTAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021683",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.