KALPANA PATEL P.T.
NPI 1356514491
Physical Therapist in Lake Villa, IL

Active since April 09, 2008Accepts Medicare Assignment
99.5/100
CMS Quality Rating
695 PARK AVE, LAKE VILLA, IL 60046(630) 368-1776(773) 967-1112 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kalpana Patel P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALPANA PATEL P.T. (NPI 1356514491) is an individual physical therapist in Lake Villa, Illinois, licensed in Illinois (070012921) and active in the NPI registry since April 2008. She maintains a secondary practice location in Island Lake and is a graduate of Other (1997).

NPPES Registry Identity

NPI1356514491
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKALPANA PATELCredential: P.T.
Location Address695 PARK AVELake Villa, IL 60046-6531
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Fax(773) 967-1112
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 9, 2008
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1356514491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in IL · 070012921
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
695 PARK AVE, Lake Villa, IL 60046

Secondary Practice Location 1

Location 1510 Auburn Dr, Suite bIsland Lake, IL 60042-9105 · Phone (847) 487-4609 · Fax (847) 487-4917

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kalpana Patel P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890864367
PECOS Enrollment IDI20080530000491

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
258 services27 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
96 services18 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
31 services13 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.15
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
695 PARK AVE
LAKE VILLA, IL 60046
Physical Therapist
695 PARK AVE
LAKE VILLA, IL 60046
Physical Therapist
695 PARK AVE
LAKE VILLA, IL 60046
Family Medicine
695 PARK AVE
LAKE VILLA, IL 60046
Speech-Language Pathologist
695 PARK AVE
LAKE VILLA, IL 60046
Physical Therapist
695 PARK AVE
LAKE VILLA, IL 60046
Physical Therapist
695 PARK AVE
LAKE VILLA, IL 60046
Physical Therapist
695 PARK AVE
LAKE VILLA, IL 60046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kalpana Patel's NPI number?

The NPI number for Kalpana Patel is 1356514491. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Kalpana Patel located?

Kalpana Patel practices at 695 Park Ave, Lake Villa, IL 60046. The listed phone number is (630) 368-1776.

What is Kalpana Patel's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kalpana Patel enrolled in Medicare?

Yes. Kalpana Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kalpana Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kalpana Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kalpana Patel was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.