Individual provider Active NPI

Hiral Kanada

  • Physical Therapy Assistant
  • Riverwoods, IL
National Provider Identifier
1811266489
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160005415 Issued in IL
Practice address
3705 Deerfield Rd
Riverwoods, IL 60015-3540
Phone
(847) 947-9000
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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 160005415 IL Primary

Addresses

Primary practice location

3705 Deerfield Rd
Riverwoods, IL 60015-3540

Mailing address

2100 Bayside Dr Unit 2
Palatine, IL 60074-3281
Phone (443) 939-9436

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
160005415ILMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1811266489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BAYSIDE DR UNIT 2",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600743281",
            "telephone_number": "443-939-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 DEERFIELD RD",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153540",
            "telephone_number": "847-947-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANADA",
        "first_name": "HIRAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160005415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverwoods, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.