Active NPI
Radhika Rangnath Deshpande, PT
- Physical Therapist
- South Plainfield, NJ
National Provider Identifier
1013242643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01325800
- Practice address
- 904 Oak Tree Ave
Suite S
South Plainfield, NJ 07080-5126 - Phone
- (908) 756-6555
- Fax
- (908) 756-9754
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01325800 | NJ | Primary |
Addresses
Primary practice location
904 Oak Tree Ave
Suite S
South Plainfield, NJ 07080-5126
Mailing address
724 Bermuda Dr
Branchburg, NJ 08853-4276
Phone (908) 635-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01325800 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1013242643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 BERMUDA DR",
"city": "BRANCHBURG",
"state": "NJ",
"postal_code": "088534276",
"telephone_number": "908-635-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 OAK TREE AVE",
"address_2": "SUITE S",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805126",
"telephone_number": "908-756-6555",
"fax_number": "908-756-9754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHPANDE",
"first_name": "RADHIKA",
"middle_name": "RANGNATH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01325800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.