Individual provider Active NPI

Soya Babu

  • Physical Therapist
  • Glenview, IL
National Provider Identifier
1801284088
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021164 Issued in IL
Practice address
3801 Appian Way
Apt 102
Glenview, IL 60025-3871
Phone
(847) 702-5957
NPI assigned
Dec 23, 2014
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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 070021164 IL Primary

Addresses

Primary practice location

3801 Appian Way
Apt 102
Glenview, IL 60025-3871

Mailing address

3801 Appian Way
Apt 102
Glenview, IL 60025-3871
Phone (847) 702-5957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801003201 IL Practitioner - Physical Therapist in Private Practice 0648652016 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

2625 Techny Rd
Northbrook, IL 60062-5995
Phone (888) 531-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070021164ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Mar 22, 2022 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Apr 12, 2023 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Apr 12, 2023 Accepting new patients

Locations

2155 W Pierce Ave
Chicago, IL 60622
Phone (773) 252-2066

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

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

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 981-8000

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1801284088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 APPIAN WAY",
            "address_2": "APT 102",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253871",
            "telephone_number": "847-702-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 APPIAN WAY",
            "address_2": "APT 102",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253871",
            "telephone_number": "847-702-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABU",
        "first_name": "SOYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.