Individual provider Active NPI

Veena Rama Madiraju

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1114189172
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029666 Issued in NY
Practice address
1000 Elmwood Ave
Rochester, NY 14620-3042
Phone
(585) 271-2520
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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 029666 NY Primary

Addresses

Primary practice location

1000 Elmwood Ave
Rochester, NY 14620-3042

Mailing address

306 Alverstone Way
West Henrietta, NY 14586-9577
Phone (585) 771-0619

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311000306 NY Practitioner - Physical Therapist in Private Practice 5799268454 Reassigns benefits to 1 organization
Practice locations: Webster, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 Portland Ave
Rochester, NY 14621-3065

900 Cherry Ridge Blvd
Webster, NY 14580-4820
Phone (585) 697-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029666NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Anns Home for the Aged CurrentSince Dec 9, 2025 Accepting new patients
St. Ann'S Home for the Aged CurrentSince Dec 9, 2025 Accepting new patients

Organizations & group practices 2

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1114189172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ALVERSTONE WAY",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869577",
            "telephone_number": "585-771-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203042",
            "telephone_number": "585-271-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIRAJU",
        "first_name": "VEENA",
        "middle_name": "RAMA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.