Individual provider Active NPI

Rahul Ravindran, DPT

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1861060915
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
072.025625 Issued in IL
Practice address
555 Busse Hwy Unit 1C
Park Ridge, IL 60068-3189
Phone
(877) 632-6637
Fax
(708) 409-5179
NPI assigned
Jun 15, 2021
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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 072.025625 IL Primary

Addresses

Primary practice location

555 Busse Hwy Unit 1C
Park Ridge, IL 60068-3189

Mailing address

555 Busse Hwy Unit 1C
Park Ridge, IL 60068-3189
Phone (877) 632-6637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310002187 IL Practitioner - Physical Therapist in Private Practice 6608261599 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians
Reinvent Health Inc.Group PAC ID 2264964477, 38 clinicians

Practice addresses (Care Compare)

Naperville, IL 60563
Phone (866) 525-3175

Chicago, IL 60622
Phone (405) 821-6648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072.025625ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 21, 2023 Accepting new patients
Orthomidwest, PLLC CurrentSince Nov 21, 2022 Accepting new patients
Kalappurayil Therapeutics Inc CurrentSince Jan 1, 2022 Accepting new patients
Midwest Orthopaedics at Rush LLC CurrentSince Nov 21, 2022 Accepting new patients
Taylor Chiropractic, S.C. CurrentSince Mar 10, 2022 Accepting new patients
Reinvent Health Inc Physical Therapist CurrentSince Oct 9, 2024 Accepting new patients
Orthomidwest, PLLC CurrentSince Nov 21, 2022 Accepting new patients
Orthomidwest, PLLC Physical Therapist Current Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Nov 21, 2022 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244

4906 N Western Ave
Chicago, IL 60625
Phone (773) 334-3767

2000 W State St
Ste F
Geneva, IL 60134
Phone (708) 492-5720

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169

555 Busse Hwy
Unit 1C
Park Ridge, IL 60068

5550 Touhy Ave
Ste 103
Skokie, IL 60077
Phone (773) 725-5835

1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 9

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1861060915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BUSSE HWY UNIT 1C",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683189",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BUSSE HWY UNIT 1C",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683189",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINDRAN",
        "first_name": "RAHUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "072.025625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.