Individual provider Active NPI

Rupali G Padhiar, DPT

  • Physical Therapist
  • Skokie, IL
National Provider Identifier
1841851060
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070024397 Issued in IL
Practice address
4444 Oakton St
Skokie, IL 60076-3259
Phone
(847) 983-8474
Fax
(847) 983-8832
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 070024397 IL Primary

Addresses

Primary practice location

4444 Oakton St
Skokie, IL 60076-3259

Mailing address

5406 W Fullerton Ave
Chicago, IL 60639
Phone (630) 908-3545

Other practice location 1

5406 W Fullerton Ave
Chicago, IL 60639
Phone (630) 908-3545

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Skokie

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028000617 IL Practitioner - Physical Therapist in Private Practice 2860724713 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070024397ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reinvent Health Inc Physical Therapist CurrentSince Feb 19, 2026 Accepting new patients
Workfit Physical Therapy LLC Physical Therapist CurrentSince Nov 12, 2024 Accepting new patients
Pro Health Medical Group CurrentSince Nov 25, 2019 Accepting new patients

Locations

5406 W Fullerton Ave
Chicago, IL 60639
Phone (773) 466-7012

4444 Oakton St
Skokie, IL 60076
Phone (847) 983-8474

Organizations & group practices 3

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1841851060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60639",
            "telephone_number": "630-908-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763259",
            "telephone_number": "847-983-8474",
            "fax_number": "847-983-8832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5406 W Fullerton Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60639",
            "country_code": "US",
            "telephone_number": "630-908-3545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADHIAR",
        "first_name": "RUPALI",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-05-09",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Skokie",
            "affiliation": "N",
            "address_1": "4444 Oakton St",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600763259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.