Individual provider Active NPI

Reshma Malkani

  • Physical Therapist
  • Peoria, IL
National Provider Identifier
1265892491
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.2733 Issued in IL
Practice address
911 W Loire CT
Apt 303
Peoria, IL 61614-1856
Phone
(507) 210-8870
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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 070.2733 IL Primary

Addresses

Primary practice location

911 W Loire CT
Apt 303
Peoria, IL 61614-1856

Mailing address

911 W Loire CT
Apt 303
Peoria, IL 61614-1856
Phone (507) 210-8870

Other names 1

  • Reshma Malkani Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.2733ILMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: reshma.malkani.lulla.1@14940.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1265892491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W LOIRE CT",
            "address_2": "APT 303",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141856",
            "telephone_number": "507-210-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W LOIRE CT",
            "address_2": "APT 303",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141856",
            "telephone_number": "507-210-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKANI",
        "first_name": "RESHMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.2733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RESHMA",
            "last_name": "MALKANI",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.