Individual provider Active NPI

Shonali Prakash Lothe

  • Physical Therapist
  • Lincolnshire, IL
National Provider Identifier
1396341715
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070010976 Issued in IL
Practice address
408 Old Mill Cir
Lincolnshire, IL 60069-3305
Phone
(847) 863-4606
NPI assigned
Dec 10, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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 070010976 IL Primary

Addresses

Primary practice location

408 Old Mill Cir
Lincolnshire, IL 60069-3305

Mailing address

408 Old Mill Cir
Lincolnshire, IL 60069-3305
Phone (847) 863-4606

Other practice location 1

1535 Lake Cook Rd Ste 102
Northbrook, IL 60062-1450
Phone (847) 863-4606

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070010976ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1396341715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 OLD MILL CIR",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693305",
            "telephone_number": "847-863-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 OLD MILL CIR",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693305",
            "telephone_number": "847-863-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 Lake Cook Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621450",
            "country_code": "US",
            "telephone_number": "847-863-4606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTHE",
        "first_name": "SHONALI",
        "middle_name": "PRAKASH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.