Active NPI
Sravanthi Kandula
- Physical Therapist
- Aurora, IL
National Provider Identifier
1285185702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070014914
- Practice address
- 3600 Thayer CT
Suite 500 C
Aurora, IL 60504-6183 - Phone
- (630) 870-4735
- NPI assigned
- Oct 19, 2016
- 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 | 070014914 | IL | Primary |
Addresses
Primary practice location
3600 Thayer CT
Suite 500 C
Aurora, IL 60504-6183
Mailing address
3600 Thayer CT
Suite 500 C
Aurora, IL 60504-6183
Phone (678) 459-3745
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070014914 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1285185702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 THAYER CT",
"address_2": "SUITE 500 C",
"city": "AURORA",
"state": "IL",
"postal_code": "605046183",
"telephone_number": "678-459-3745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 THAYER CT",
"address_2": "SUITE 500 C",
"city": "AURORA",
"state": "IL",
"postal_code": "605046183",
"telephone_number": "630-870-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDULA",
"first_name": "SRAVANTHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.