Individual provider Active NPI

Atula Ramesh Karody, PT

  • Physical Therapist
  • Moreno Valley, CA
National Provider Identifier
1285907147
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15092 Issued in CA
Practice address
23110 Atlantic Cir Ste D
Moreno Valley, CA 92553-5920
Phone
(951) 379-1500
Fax
(951) 379-1501
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15092 CA Primary

Addresses

Primary practice location

23110 Atlantic Cir Ste D
Moreno Valley, CA 92553-5920

Mailing address

14297 Pear St
Riverside, CA 92508-8835
Phone (951) 906-1379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121205000429 CA Practitioner - Physical Therapist in Private Practice 4587816178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Physical Therapy IncGroup PAC ID 5597027581, 15 clinicians
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

23100 Eucalyptus Ave
Suite C
Moreno Valley, CA 92553-5439
Phone (951) 379-1500

2815 S Main St
Suite 205
Corona, CA 92882-2533
Phone (951) 475-1307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Physical Therapy Physical Therapist CurrentSince Jul 9, 2018 Accepting new patients
Green Physical Therapy, Inc. Physical Therapist CurrentSince Jan 3, 2019 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Oct 15, 2012 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

2815 S Main St
Ste 205
Corona, CA 92882
Phone (951) 475-1307

2091 W Florida Ave
Ste 210
Hemet, CA 92545
Phone (951) 574-6300

425 Diamond Dr
Ste 101
Lake Elsinore, CA 92530
Phone (951) 674-9515

29798 Haun Rd
Ste 201
Menifee, CA 92586
Phone (951) 679-8500

30141 Antelope Rd
Ste A
Menifee, CA 92584
Phone (951) 723-1866

23100 Eucalyptus Ave
Ste C
Moreno Valley, CA 92553
Phone (951) 379-1500

23110 Atlantic Cir
Ste D
Moreno Valley, CA 92553
Phone (714) 834-9710

26881 Jefferson Ave
Ste C
Murrieta, CA 92562
Phone (951) 574-6300

126 Avocado Ave
Ste 107
Perris, CA 92571
Phone (951) 564-3080

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

32605 Temecula Pkwy
Ste 103
Temecula, CA 92592
Phone (951) 331-3660

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1285907147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14297 PEAR ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925088835",
            "telephone_number": "951-906-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR STE D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-379-1500",
            "fax_number": "951-379-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARODY",
        "first_name": "ATULA",
        "middle_name": "RAMESH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.