Active NPI
Vaidika Patel, DPT
- Physical Therapist
- Northbrook, IL
National Provider Identifier
1821812835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.027763
- Practice address
- 600 Waukegan Rd Ste 132
Northbrook, IL 60062-1249 - Phone
- (847) 748-8733
- NPI assigned
- Nov 15, 2024
- Sex
- Female
- 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 | 070.027763 | IL | Primary |
Addresses
Primary practice location
600 Waukegan Rd Ste 132
Northbrook, IL 60062-1249
Mailing address
608 N 3Rd Ave
Des Plaines, IL 60016-7527
Phone (847) 924-5691
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.027763 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidnectivity | Physical Therapist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1821812835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 N 3RD AVE",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600167527",
"telephone_number": "847-924-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WAUKEGAN RD STE 132",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621249",
"telephone_number": "847-748-8733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VAIDIKA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.027763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.