Individual provider Active NPI

Tejashree Sridhar Rao, DPT

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1093583262
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051560-01 Issued in NY
Practice address
3063 38TH St Ste C1
Astoria, NY 11103-4172
Phone
(718) 932-1269
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 051560-01 NY Primary

Addresses

Primary practice location

3063 38TH St Ste C1
Astoria, NY 11103-4172

Mailing address

544 Summit Ave # 3
Jersey City, NJ 07306-2702
Phone (909) 319-9495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606000490 NY Practitioner - Physical Therapist in Private Practice 0941710230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body in Balance Physical Therapy, PCGroup PAC ID 3173580651, 3 clinicians

Practice addresses (Care Compare)

3063 38TH St
Astoria, NY 11103-4172
Phone (718) 932-1269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051560-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Balance Physical Therapy ,PC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Body in Balance Physical Therapy, PC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Apr 5, 2025 Accepting new patients

Locations

3063 38th St
Ste B
Astoria, NY 11103
Phone (718) 626-2222

19413 Northern Blvd
Flushing, NY 11358
Phone (718) 357-0298

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1093583262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 SUMMIT AVE # 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062702",
            "telephone_number": "909-319-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 38TH ST STE C1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034172",
            "telephone_number": "718-932-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "TEJASHREE",
        "middle_name": "SRIDHAR",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051560-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.