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

Shruti Antarix Kothadia

Individual provider Physical Therapy Assistant · NPI 1902564719

Shruti Antarix Kothadia is a Physical Therapy Assistant in Naperville, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

1400 Brookdale Rd
Naperville, IL 60563-2126
Phone: (630) 416-6565
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160007645 (IL)

Record details

NPI number1902564719
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing address12242 Silver Maple, Homer Glen, IL 60491-9216

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