Individual provider · Type 1 NPI

Dheeraj Davis Kalluri

Physical Therapy Assistant · Libertyville, IL

NPI number 1205727252 Active

Practice location

1757 Northwind Blvd
Libertyville, IL 60048-9617

Call (224) 206-0200 Map

Fax (224) 206-0201

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.010417 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1205727252

Dheeraj Davis Kalluri's National Provider Identifier is 1205727252, issued on Jul 9, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Libertyville, IL. The record was last updated on Jul 11, 2025.