Individual provider Active NPI

Himabindu Pulapa, PTA

  • Physical Medicine & Rehabilitation Physician
  • Washington, DC
National Provider Identifier
1194219642
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PTA000175 Issued in DC
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

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PTA000175DCMDPhysical 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.

Verify at the official NPI Registry.