Praveen Kumar Reddy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013276 Issued in MI

Practice address

16200 Hubbard Dr
Dearborn, MI 48126-4155

Phone

(313) 593-1703

Fax

(313) 593-1939

NPI assigned

Dec 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rehab Accomplished Inc

  • Occupational Therapist
  • Plano, TX
  • NPI 1023779089

  Physical Therapist

  NPD
• Adaptive Rehabilitation Clinics, LLC

  • Physical Therapist
  • Niles, OH
  • NPI 1568085579
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1306028055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 HUBBARD DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264155",
            "telephone_number": "313-593-1703",
            "fax_number": "313-593-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 HUBBARD DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264155",
            "telephone_number": "313-593-1703",
            "fax_number": "313-593-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PRAVEEN",
        "middle_name": "KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Rebock, DO
• Recover Home Healthcare
• Recovr L.L.C
• Hussein Reda
• Madhulata Reddy, MD
• Matthew Redigan, LLP
• Redwood Laboratory Inc
• Redwood Medical Equipment LLC
• Melinda Reeber, OTR
• Daijanell Reed-Graham

• Physical Therapist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.