Individual provider Active NPI

Ketki Halvadia, DPT

  • Physical Therapist
  • Palatine, IL
National Provider Identifier
1942375530
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-013600 Issued in IL
Practice address
711 S Vermont St
Palatine, IL 60067-7138
Phone
(847) 323-7001
Fax
(847) 960-4985
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 070-013600 IL Primary

Addresses

Primary practice location

711 S Vermont St
Palatine, IL 60067-7138

Mailing address

711 S Vermont St
Palatine, IL 60067-7138
Phone (847) 323-7001

Other practice location 1

507 S Vermont St
Palatine, IL 60067-6947
Phone (847) 323-7001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405001352 IL Practitioner - Physical Therapist in Private Practice 3173570736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Active Life Physical Therapy LTDGroup PAC ID 9234448945, 2 clinicians

Practice addresses (Care Compare)

711 S Vermont St
Palatine, IL 60067-7138
Phone (847) 323-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-013600ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Physical Therapy LTD Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients

Locations

507 S Vermont St
Palatine, IL 60067
Phone (847) 323-7001

Organizations & group practices 2

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1942375530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S VERMONT ST",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677138",
            "telephone_number": "847-323-7001",
            "fax_number": "847-960-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S VERMONT ST",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677138",
            "telephone_number": "847-323-7001",
            "fax_number": "847-960-4985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 S Vermont St",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600676947",
            "country_code": "US",
            "telephone_number": "847-323-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALVADIA",
        "first_name": "KETKI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-013600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.