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Ketaki Mehendale

NPI 1821845975ActiveIndividual· Physical Therapist· Waukegan, IL

Physical Therapist with Athletic and Therapeutic Institute of Bourbonnais, LLC, practicing in Waukegan, Illinois. Medicare paid $6,461 for services to 31 patients in 2024.

Overview

NPI1821845975
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certified by providerMay 6, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (IL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients31
Services billed312 across 9 procedure codes
Paid by Medicare$6,461

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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