Active NPI
Prasad V Venkat, PT
- Physical Therapist
- Dayton, OH
National Provider Identifier
1255586376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6132
- Practice address
- 4100 W.Third Street,
Dayton, OH 45428 - Phone
- (937) 268-6511
- Fax
- (937) 267-7667
- NPI assigned
- Nov 18, 2008
- 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 | 6132 | OH | Primary |
Addresses
Primary practice location
4100 W.Third Street,
Dayton, OH 45428
Mailing address
2812 Forest Creek Dr
Apt # 2
Beavercreek, OH 45431-7713
Phone (937) 912-9250
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 |
|---|---|---|---|
| 6132 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1255586376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 FOREST CREEK DR",
"address_2": "APT # 2",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454317713",
"telephone_number": "937-912-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W.THIRD STREET,",
"city": "DAYTON",
"state": "OH",
"postal_code": "45428",
"telephone_number": "937-268-6511",
"fax_number": "937-267-7667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKAT",
"first_name": "PRASAD",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "6132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.