Individual provider Active NPI

Krishna Pratyusha Paruchuri, PT

  • Physical Therapist
  • Leander, TX
National Provider Identifier
1013434893
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1377227 Issued in TX
Practice address
651 N Highway 183 Ste 350
Leander, TX 78641-7016
Phone
(512) 456-7065
Fax
(512) 456-7112
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305212396 VA
Physical Therapist 225100000X 26563 MD
Physical Therapist 225100000X 1377227 TX Primary

Addresses

Primary practice location

651 N Highway 183 Ste 350
Leander, TX 78641-7016

Mailing address

5252 Lyngate CT Ste 203
Burke, VA 22015-1673
Phone (703) 239-2300

Other practice location 1

339 Zuma Dr
Liberty Hill, TX 78642-2351
Phone (512) 808-3692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124003084 TX Practitioner - Physical Therapist in Private Practice 1153773676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

651 N Hwy 183
Suite 350
Leander, TX 78641-7016
Phone (512) 808-3692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26563MDMDPhysical Therapist
1377227TXMDPhysical Therapist
2305212396VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Physical Therapy PLLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Hand Therapy Experts, LLC Past Accepting new patients
Active Physical Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

651 N Highway 183
Ste 350
Leander, TX 78641
Phone (512) 456-7065

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1013434893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LYNGATE CT STE 203",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151673",
            "telephone_number": "703-239-2300",
            "fax_number": "703-239-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N HIGHWAY 183 STE 350",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786417016",
            "telephone_number": "512-456-7065",
            "fax_number": "512-456-7112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Zuma Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty Hill",
            "state": "TX",
            "postal_code": "786422351",
            "country_code": "US",
            "telephone_number": "512-808-3692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARUCHURI",
        "first_name": "KRISHNA",
        "middle_name": "PRATYUSHA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212396",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26563",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1377227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.