Active NPI
Himabindu Pulapa, PTA
- Physical Medicine & Rehabilitation Physician
- Washington, DC
National Provider Identifier
1194219642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PTA000175
- Practice address
- 4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131 - Phone
- (202) 574-5700
- NPI assigned
- Jun 19, 2018
- 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 Medicine & Rehabilitation Physician | 208100000X | PTA000175 | DC | Primary |
Addresses
Primary practice location
4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131
Mailing address
5737 Goldfinch CT
Ellicott City, MD 21043-6095
Phone (301) 310-7937
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 |
|---|---|---|---|
| PTA000175 | DC | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1194219642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5737 GOLDFINCH CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436095",
"telephone_number": "301-310-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 MARTIN LUTHER KING JR AVE SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200321131",
"telephone_number": "202-574-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULAPA",
"first_name": "HIMABINDU",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "DC",
"license": "PTA000175",
"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 Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.