Individual provider Active NPI

Kevin T Kalappurayil

  • Physical Therapy Assistant
  • Niles, IL
National Provider Identifier
1417425927
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.008403 Issued in IL
Practice address
6726 W Forest View LN
Niles, IL 60714-4406
Phone
(312) 231-2902
NPI assigned
Nov 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160.008403 IL Primary

Addresses

Primary practice location

6726 W Forest View LN
Niles, IL 60714-4406

Mailing address

6726 W Forest View LN
Niles, IL 60714-4406
Phone (312) 231-2902

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
160.008403ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Rehab Inc CurrentSince Jan 1, 2022 Accepting new patients
Kalappurayil Therapeutics Inc Physical Therapy Assistant CurrentSince Dec 12, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1417425927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 W FOREST VIEW LN",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144406",
            "telephone_number": "312-231-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 W FOREST VIEW LN",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144406",
            "telephone_number": "312-231-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAPPURAYIL",
        "first_name": "KEVIN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.008403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.