Active NPI
Vinaya Balaraju, PT
- Physical Therapist
- Washington, DC
National Provider Identifier
1184267643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT871212
- Practice address
- 3050 Military Rd NW
Washington, DC 20015-1341 - Phone
- (202) 596-3103
- Fax
- (202) 363-4699
- NPI assigned
- Oct 28, 2019
- 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 | PT871212 | DC | Primary |
Addresses
Primary practice location
3050 Military Rd NW
Washington, DC 20015-1341
Mailing address
9307 Glenbrook Rd
Fairfax, VA 22031-3054
Phone (704) 615-1122
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 |
|---|---|---|---|
| PT871212 | DC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1184267643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9307 GLENBROOK RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313054",
"telephone_number": "704-615-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 MILITARY RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200151341",
"telephone_number": "202-596-3103",
"fax_number": "202-363-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALARAJU",
"first_name": "VINAYA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT871212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.