Active NPI
Krishna Pratyusha Paruchuri, PT
- Physical Therapist
- Leander, TX
National Provider Identifier
1013434893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1377227
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26563 | MD | MD | Physical Therapist |
| 1377227 | TX | MD | Physical Therapist |
| 2305212396 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Physical Therapy PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Leander, TX
- NPI 1295509701
-
- Physical Therapist
- Laurel, MD
- NPI 1225217334
-
- Occupational Therapist
- Burke, VA
- NPI 1366860280
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.