Bobby L Kalladanthyil, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6400 W College Dr
Suite 800
Palos Heights, IL 60463-1785

Phone

(708) 489-6777

NPI assigned

Jul 12, 2006

Sex

Male

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  Medicare reassignment Care Compare group NPD
• Pro-Rehab Services, P.C.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Palos Heights, IL
  • NPI 1720010168
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699790618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W COLLEGE DR",
            "address_2": "SUITE 800",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631785",
            "telephone_number": "708-489-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W COLLEGE DR",
            "address_2": "SUITE 800",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631785",
            "telephone_number": "708-489-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLADANTHYIL",
        "first_name": "BOBBY",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Jubeh, RD
• Stephen J Jumic
• Katarzyna Kaczmarczyk, DPT
• Monica Kaczmarczyk
• Adrian Kalata, PHARMD
• Michelle A Kallenborn, D.O.
• Dua Kanwal Iqbal Kalota
• Jordan L Kaplan, D.D.S.
• Georgios Karanastasis
• Puja Karanth, M.D.

• Physical Therapist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.