Active NPI
Jay Chaudhari, DPT
- Physical Therapist
- Bloomingdale, IL
National Provider Identifier
1790212488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 220 Springfield Dr Ste 300
Bloomingdale, IL 60108-2215 - Phone
- (630) 946-2354
- Fax
- (630) 946-2361
- NPI assigned
- May 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
220 Springfield Dr Ste 300
Bloomingdale, IL 60108-2215
Mailing address
1860 Payshere Circle
Chicago, IL 60674-0001
Phone (630) 545-6016
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jchaudhari27089@direct.edward.org |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Past | Accepting new patients |
Interoperability endpoints
- jchaudhari27089@direct.edward.org
- jay.chaudhari.1@14940.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Lombard, IL
- NPI 1316347347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1790212488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSHERE CIRCLE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740001",
"telephone_number": "16305456016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SPRINGFIELD DR STE 300",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082215",
"telephone_number": "630-946-2354",
"fax_number": "630-946-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHARI",
"first_name": "JAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-12",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jchaudhari27089@direct.edward.org",
"affiliation": "N",
"address_1": "220 Springfield Dr Ste 300",
"city": "Bloomingdale",
"state": "IL",
"country_code": "US",
"postal_code": "601082215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.