Individual provider Active NPI

Adwaita Subhedar

  • Physical Therapist
  • Palos Heights, IL
National Provider Identifier
1447641253
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070019822 Issued in IL
Practice address
12021 S Harlem Ave
Palos Heights, IL 60463-1139
Phone
(708) 923-1768
Fax
(708) 923-1773
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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 070019822 IL Primary

Addresses

Primary practice location

12021 S Harlem Ave
Palos Heights, IL 60463-1139

Mailing address

12021 S Harlem Ave
Palos Heights, IL 60463-1139
Phone (708) 923-1768

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509002427 IL Practitioner - Physical Therapist in Private Practice 4183001308 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians
Rex Therapeutics, LLCGroup PAC ID 7315342219, 21 clinicians

Practice addresses (Care Compare)

1000 Sunset Ridge Rd
Northbrook, IL 60062-4008
Phone (224) 300-7284

1922 W Sunnyside Ave
Chicago, IL 60640-0205
Phone (312) 709-7209

35 Shawmut Ave
La Grange, IL 60525-8648
Phone (708) 330-2340

4950 N Ashland Ave
Chicago, IL 60640-3477
Phone (312) 598-2030

6700 S Keating Ave
Chicago, IL 60629-5660
Phone (708) 905-6026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070019822ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorycare Corporation CurrentSince Feb 24, 2025 Accepting new patients
Rex Therapeutics, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Jan 28, 2022 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients

Locations

2835 N Sheffield Ave
Ste 202
Chicago, IL 60657
Phone (773) 328-2025

1390 S Crescent St
Gilman, IL 60938
Phone (414) 721-8669

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

7836 Frontage Rd
Skokie, IL 60077
Phone (414) 721-8669

28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 250-4576

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

Organizations & group practices 5

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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1447641253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631139",
            "telephone_number": "708-923-1768",
            "fax_number": "708-923-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631139",
            "telephone_number": "708-923-1768",
            "fax_number": "708-923-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBHEDAR",
        "first_name": "ADWAITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.