Saritha N/a Sirivol

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070019662 Issued in IL

Practice address

4225 Kirchoff Rd
Rolling Meadows, IL 60008-2005

Phone

(847) 397-2400

NPI assigned

Apr 25, 2019

Last updated

Apr 25, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1407410483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15281 W PINEWOOD LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485115",
            "telephone_number": "847-315-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 KIRCHOFF RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082005",
            "telephone_number": "847-397-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIVOL",
        "first_name": "SARITHA",
        "middle_name": "N/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soo Shim, LCSW
• Ruth Lynn Shook, PSY.D.
• Silver Glen Road Opco LLC (Recovery Centers of America Outpatient Services)
• Brandy Silvio, APRN
• Grace Sinopoli, RD
• Mairead Skelton
• Agnieszka Smirnow, PHARMD
• Jennifer Smith
• George Smyrniotis, M.D.
• Solentra Health PLLC

• Physical Therapist in Rolling Meadows, IL
• Providers in Rolling Meadows, 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 25, 2019; 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.