Active NPI
Geetha Gudipally
- Physical Therapist
- New Brighton, MN
National Provider Identifier
1134422082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8673
- Practice address
- 825 First Ave NW
New Brighton, MN 55112 - Phone
- (651) 633-7875
- NPI assigned
- Dec 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8673 | MN | Primary |
Addresses
Primary practice location
825 First Ave NW
New Brighton, MN 55112
Mailing address
808 Berry Street
Apt 418
Saint Paul, MN 55114
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8673 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1134422082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 BERRY STREET",
"address_2": "APT 418",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FIRST AVE NW",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "55112",
"telephone_number": "651-633-7875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDIPALLY",
"first_name": "GEETHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-15",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.