Active NPI
Laxmi Suryanarayana, PT, MS
- Physical Therapist
- Ellicott City, MD
National Provider Identifier
1285933259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22830
- Practice address
- 9010 Town and Country Blvd
Apt C
Ellicott City, MD 21043-3134 - Phone
- (336) 725-6492
- NPI assigned
- Mar 16, 2011
- Sex
- Female
- 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 | 22830 | MD | Primary |
Addresses
Primary practice location
9010 Town and Country Blvd
Apt C
Ellicott City, MD 21043-3134
Mailing address
9010 Town and Country Blvd
Apt C
Ellicott City, MD 21043-3134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
470 N Lewis Rd
Bon Homie LTD Adult Day Center
Limerick, PA 19468-1511
Phone (610) 792-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Namaste Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Namaste Rehab Clinics LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
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.
-
- Physical Therapist
- Spring House, PA
- NPI 1518855469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1285933259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9010 TOWN AND COUNTRY BLVD",
"address_2": "APT C",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9010 TOWN AND COUNTRY BLVD",
"address_2": "APT C",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433134",
"telephone_number": "336-725-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURYANARAYANA",
"first_name": "LAXMI",
"name_prefix": "Ms.",
"credential": "PT, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.