Nikita Mukesh Sorathya, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-022986 Issued in IL

Practice address

1870 E Grand Ave
Lindenhurst, IL 60046-7821

Phone

(224) 643-0117

Fax

(224) 643-1051

NPI assigned

Apr 4, 2017

Last updated

Apr 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: nikita.sorathya.p9@direct.athleticoltd.nextgenshare.com

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1316470610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 E GRAND AVE",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467821",
            "telephone_number": "224-643-0117",
            "fax_number": "224-643-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORATHYA",
        "first_name": "NIKITA",
        "middle_name": "MUKESH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-022986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiles of Lindenhurst
• Carolyn Diane Smith, R.N.
• Hannah Smith
• Megan Smith
• Dariusz Sokolowski, PT
• Debra W Stanislawski
• Michael Stapleton, MPT
• Lauren Steffens
• Stephen J. Clark M.D.,P.C.
• Leia Stephens, LMT

• Physical Therapist in Lindenhurst, IL
• Providers in Lindenhurst, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.