Yuvarani Radhakrishnan

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2018028631 Issued in MO

Practice address

872 College Blvd
Osage Beach, MO 65065-8408

Phone

(573) 302-0900

NPI assigned

Nov 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1265945778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 JACE DALE CT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651090351",
            "telephone_number": "573-645-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 COLLEGE BLVD",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658408",
            "telephone_number": "573-302-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "YUVARANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2017038181",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2018028631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber De Ann Polson, D.C., M.S.
• Joseph William Pope, M.P.T.
• Stephen James Preston, R.PH
• Robyn G Price, PT
• Jacob Adam Quick, M.D.
• Wendy Arron Ramboldt, DC
• Tara Kay Randle, MSRDLDCDE
• Erin Rasmussen
• Lyle R Rasmussen, P T
• Megan A Ray, WHNP-APRN

• Physical Therapy Clinic/Center in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.