MEDICARE: NIKITA GOYAL PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1750960118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKITA GOYAL PT

Provider Business Mailing Address
First Line	:	3420 LACROSSE LN STE 121
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8279
Country	:	US
Telephone Number	:	224-386-4016
Fax Number	:	331-226-0556

Provider Business Practice Location Address
First Line	:	3420 LACROSSE LN STE 121
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8279
Country	:	US
Telephone Number	:	224-386-4016
Fax Number	:	331-226-0556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	06/02/2026

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Directions to “ NIKITA GOYAL PT” Practice Location

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