Provider Demographics
NPI:1265459176
Name:NORTHWEST PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:NORTHWEST PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:VIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KALWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-517-1900
Mailing Address - Street 1:2360 HASSELL RD STE C
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2171
Mailing Address - Country:US
Mailing Address - Phone:847-517-1900
Mailing Address - Fax:847-517-1904
Practice Address - Street 1:2360 HASSELL RD STE C
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2171
Practice Address - Country:US
Practice Address - Phone:847-517-1900
Practice Address - Fax:847-517-1904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X, 225X00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL3816Medicare PIN
ILIL1673Medicare PIN
IL212550Medicare PIN