Active NPI
Arasu Indrajith
- Physical Therapist
- San Diego, CA
National Provider Identifier
1235569419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501007221
- Practice address
- 12366 Carmel Country Rd
Unit 208
San Diego, CA 92130-4513 - Phone
- (734) 649-2726
- NPI assigned
- Nov 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 5501007221 | MI | Primary |
Addresses
Primary practice location
12366 Carmel Country Rd
Unit 208
San Diego, CA 92130-4513
Mailing address
12366 Carmel Country Rd
Unit 208
San Diego, CA 92130-4513
Phone (734) 649-2726
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 |
|---|---|---|---|
| 5501007221 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1235569419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12366 CARMEL COUNTRY RD",
"address_2": "UNIT 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921304513",
"telephone_number": "734-649-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12366 CARMEL COUNTRY RD",
"address_2": "UNIT 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921304513",
"telephone_number": "734-649-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDRAJITH",
"first_name": "ARASU",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501007221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Include Autism, Inc.
- Included
- Inclusive Reproductive Healing a Licensed Clinical Social Worker Co
- Valerie Indihar, RN
- Individual & Marital Therapy by Richard K Inc
- Mario B Ines, M.D.
- Pauline Lily-Ann Ines
- Maria Alejandra Infante, PH.D.
- Ricky Rodrigo Infante
- Infectious Diseases Physicians of San Diego, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.