Individual provider Active NPI

Priya Ramanujam, PT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1083207336
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0003332 Issued in DE
Practice address
2723 Shipley Rd
Wilmington, DE 19810-3251
Phone
(302) 477-8909
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0003332 DE Primary

Addresses

Primary practice location

2723 Shipley Rd
Wilmington, DE 19810-3251

Mailing address

311 Redbud LN
Kennett Square, PA 19348-1585

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL PRAMANUJAM@5SSL.COM Direct
Direct Messaging Address PRAMANUJAM@5SSL.COM Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
J1-0003332DEMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: pramanujam@5ssl.com

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1083207336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 REDBUD LN",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 SHIPLEY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103251",
            "telephone_number": "302-477-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMANUJAM",
        "first_name": "PRIYA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PRAMANUJAM@5SSL.COM",
            "affiliation": "N",
            "endpointDescription": "EMPLOYER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 Redbud Ln",
            "city": "Kennett Square",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193481585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PRAMANUJAM@5SSL.COM",
            "affiliation": "N",
            "endpointDescription": "SKILLED NURSING HOME",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2723 Shipley Rd",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198103251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.