Shreenath Varadarajan

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

10051 Foxes Way
King George, VA 22485-3458

Phone

(540) 775-4000

NPI assigned

Jul 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1154054666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 STERLING DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077354",
            "telephone_number": "909-647-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 FOXES WAY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853458",
            "telephone_number": "540-775-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARADARAJAN",
        "first_name": "SHREENATH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-03",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nethealth.com",
            "affiliation": "Y",
            "affiliationName": "ENCORE REHABILITATION INC",
            "address_1": "10051 Foxes Way",
            "city": "King George",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224853458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in King George, VA
• Providers in King George, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; 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.