Active NPI
Mahesh Kumar Chadalawada
- Physical Therapy Assistant
- Des Plaines, IL
National Provider Identifier
1922650688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160008559
- Practice address
- 9300 W Ballard Rd
Des Plaines, IL 60016-4904 - Phone
- (847) 363-0282
- NPI assigned
- Jul 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 160008559 | IL | Primary |
Addresses
Primary practice location
9300 W Ballard Rd
Des Plaines, IL 60016-4904
Mailing address
Landmark of Des Plaines
9300, Ballard Road
Des Plaines, IL 60016
Phone (847) 294-2300
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 |
|---|---|---|---|
| 160008559 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1922650688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LANDMARK OF DES PLAINES",
"address_2": "9300, BALLARD ROAD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "60016",
"telephone_number": "847-294-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 W BALLARD RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164904",
"telephone_number": "847-363-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADALAWADA",
"first_name": "MAHESH",
"middle_name": "KUMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-12",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160008559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.