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

Individual provider Physical Therapy Assistant · NPI 1346507811

Shibu Porinchu Perumbully, PTA is a Physical Therapy Assistant in Oak Lawn, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

9725 S Karlov Ave
Oak Lawn, IL 60453-3388
Phone: (708) 422-1461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.005937 (IL)

Record details

NPI number1346507811
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 20, 2012
Last updated in NPPESApril 20, 2012

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