Individual provider Active NPI

Prakash Pasupathy, PT, DPT.

  • Physical Therapy Clinic/Center
  • Frisco, TX
National Provider Identifier
1295095214
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1243935 Issued in TX
Practice address
13340 Allenwood Ave
Frisco, TX 75035-7851
Phone
(616) 406-8555
NPI assigned
May 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1243935 TX
Physical Therapy Clinic/Center 261QP2000X 1243935 TX Primary

Addresses

Primary practice location

13340 Allenwood Ave
Frisco, TX 75035-7851

Mailing address

13340 Allenwood Ave
Frisco, TX 75035-7851
Phone (616) 406-8555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329001638 TX Practitioner - Physical Therapist in Private Practice 4587038799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1243935TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sana Rehab PLLC Physical Therapy CurrentSince Mar 12, 2023 Accepting new patients
West Michigan Rehabilitation Center Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1295095214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 ALLENWOOD AVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357851",
            "telephone_number": "616-406-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 ALLENWOOD AVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357851",
            "telephone_number": "616-406-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASUPATHY",
        "first_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1243935",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1243935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.