Active NPI
Jyothsna Devi Jonnalagadda
- Physical Therapist
- Sayreville, NJ
National Provider Identifier
1194185801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1277210
- Practice address
- 8 Pyanowski CT
Sayreville, NJ 08872-2156 - Phone
- (718) 758-4343
- NPI assigned
- Feb 24, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01643800 | NJ | |
| Physical Therapist | 225100000X | 031383 | NY | |
| Physical Therapist | 225100000X | 1277210 | TX | Primary |
Addresses
Primary practice location
8 Pyanowski CT
Sayreville, NJ 08872-2156
Mailing address
8 Pyanowski CT
Sayreville, NJ 08872-2156
Phone (718) 758-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250820000017 | TX | Practitioner - Physical Therapist in Private Practice | 6800395468 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- JS Wellness LLC
Practice addresses (Care Compare)
1908 S Bagdad Rd
Suite B
Leander, TX 78641-2829
Phone (512) 337-7037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01643800 | NJ | MD | Physical Therapist |
| 1277210 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JS Wellness LLC | Physical Therapist | Current | Accepting new patients |
Locations
1908 S Bagdad Rd
Ste B
Leander, TX 78641
Phone (512) 337-7037
Organizations & group practices 1
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.
-
- Physical Therapist
- Leander, TX
- NPI 1689442550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1194185801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 PYANOWSKI CT",
"city": "SAYREVILLE",
"state": "NJ",
"postal_code": "088722156",
"telephone_number": "718-758-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 PYANOWSKI CT",
"city": "SAYREVILLE",
"state": "NJ",
"postal_code": "088722156",
"telephone_number": "718-758-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONNALAGADDA",
"first_name": "JYOTHSNA DEVI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01643800",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031383",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1277210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayreville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.