BOBBY L KALLADANTHYIL (MPT) – Physical Therapist, NPI 1699790618

BOBBY L KALLADANTHYIL (MPT) is a healthcare provider. based in Palos heights, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. The NPI Number for BOBBY L KALLADANTHYIL (MPT) is 1699790618

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
BOBBY L KALLADANTHYIL (MPT)
NPI
1699790618
Phone
(708) 489-6777
Address
6400 W COLLEGE DR
Enumeration Date
12 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009744378
Graduation Year
2000 (26 years ago)
PAC ID
7911218870
Group Practice PAC ID
4688679293
Professional Enrollment ID
I20150618001077
Address ID
IL605173100WO7530XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for BOBBY L KALLADANTHYIL (MPT)

  • 6400, West College Drive, Palos Heights, Worth Township, Cook County, Illinois, 60463, United States

    SUITE 800

    PALOS HEIGHTS, IL 604631785

    Phone: (708) 489-6777

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150618001077IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,454102$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,108100$0
97140Therapy procedure using manual technique, each 15 minutes1,62298$0
97530Therapy procedure using functional activities1,44078$0
97161Evaluation for physical therapy, typically 20 minutes6153$0
View full utilization report →

Insurance plans in this area (ZIP 60463)

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Provider's Procedures

BOBBY L KALLADANTHYIL (MPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18923
PHYSICAL THERAPYIL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes6016

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688679293View full group profile
NameSpecialtyState
-WI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI
-IL
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What identifier follows BOBBY L KALLADANTHYIL (MPT) across health systems?
The NPI 1699790618 uniquely identifies BOBBY L KALLADANTHYIL (MPT) in U.S. healthcare data.
Should I treat BOBBY L KALLADANTHYIL (MPT) as an active provider?
Patients and plans typically see BOBBY L KALLADANTHYIL (MPT) as active in the national extract.
How should patients interpret BOBBY L KALLADANTHYIL (MPT)'s specialty?
The extract shows Physical Therapist for BOBBY L KALLADANTHYIL (MPT). Clinical services aligned with this taxonomy classification.
Can patients visit BOBBY L KALLADANTHYIL (MPT) in Palos Heights, Illinois?
For routing, start with Palos Heights, Illinois for BOBBY L KALLADANTHYIL (MPT), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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