Prutha S Nanavati

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016868 Issued in IL

Practice address

4513 Lincoln Ave Ste 103
Lisle, IL 60532-1291

Phone

(630) 730-5642

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Prana Manual Therapy Inc.

  • Physical Therapist
  • Lisle, IL
  • NPI 1124786652

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1912135864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S WILLIAMS ST",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591845",
            "telephone_number": "630-730-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 LINCOLN AVE STE 103",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321291",
            "telephone_number": "630-730-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAVATI",
        "first_name": "PRUTHA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Murray
• Melissa Myers, DPT
• Myhealth Inc
• Brian Christopher Myre, M.D.
• Brynn Nahlik, DPT
• Nandria Healthcare LLC
• Naperville Psychological Associates LLC
• Naperville Radiologists
• National Clinical Labs
• Neeta F. Bhushan DDS PC

• Physical Therapist in Lisle, IL
• Providers in Lisle, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.