Individual provider Active NPI

Khyati Malhotra, DPT

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1336465491
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.017449 Issued in IL
Practice address
1619 N Mill St
Naperville, IL 60563-2858
Phone
(630) 701-6040
NPI assigned
Apr 14, 2010
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 070.017449 IL Primary

Addresses

Primary practice location

1619 N Mill St
Naperville, IL 60563-2858

Mailing address

7733 Forsyth Blvd Ste 2300
Saint Louis, MO 63105-1806

Other practice location 1

420 W Butterfield Rd
Elmhurst, IL 60126-4980
Phone (630) 832-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801001146 IL Practitioner - Physical Therapist in Private Practice 8527429042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

12446 S Van Dyke Rd
Plainfield, IL 60585-2700
Phone (815) 216-4042

1619 N Mill St
Naperville, IL 60563-2858
Phone (630) 778-3475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.017449ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jun 29, 2023 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jun 29, 2023 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Aug 22, 2023 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Aug 22, 2023 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

1619 N Mill St
Naperville, IL 60563
Phone (630) 701-6040

2800 Desplaines Ave
Riverside, IL 60546
Phone (708) 443-4217

5800 Granite Pkwy
Ste 325
Plano, TX 75024

Organizations & group practices 6

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1336465491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 FORSYTH BLVD STE 2300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N MILL ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632858",
            "telephone_number": "630-701-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W Butterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601264980",
            "country_code": "US",
            "telephone_number": "630-832-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "KHYATI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.

Verify at the official NPI Registry.