Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prutha S Nanavati

Individual provider Physical Therapist · NPI 1912135864

Prutha S Nanavati is a Physical Therapist in Private Practice in Lisle, Illinois. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2009

Practice location Address checks out

4513 Lincoln Ave Ste 103
Lisle, IL 60532-1291
Phone: (630) 730-5642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070016868 (IL)

Record details

NPI number1912135864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2009
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023
Mailing address33 S Williams St, Westmont, IL 60559-1845

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lisle