Provider Demographics
NPI:1831269026
Name:DALVI, PRITEE (DPT)
Entity type:Individual
Prefix:
First Name:PRITEE
Middle Name:
Last Name:DALVI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:PRITEE
Other - Middle Name:DALVI
Other - Last Name:COULIANIDIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:517-435-3670
Practice Address - Street 1:562 EASTON AVENUE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-565-5455
Practice Address - Fax:732-565-5454
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACP026676T225100000X
IACP026674T225100000X
NY050301225100000X
NMPT-2023-2231225100000X
ARCP026673T225100000X
PAPT031767225100000X
TNCP026675T225100000X
TXCP026677T225100000X
OHCP026678T225100000X
INCP026679T225100000X
NCCP032213T225100000X
AZCP027366T225100000X
CA305625225100000X
NJ40QA01123900225100000X
DCCP026680T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
099742PY9Medicare ID - Type Unspecified