Active NPI
Sri R Nakka, PT
- Physical Therapist
- Cuba, NY
National Provider Identifier
1306286869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035340
- Practice address
- 140 W Main St
Cuba, NY 14727-1317 - Phone
- (585) 968-2000
- Fax
- (585) 968-3898
- NPI assigned
- Jun 28, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 035340 | NY | Primary |
Addresses
Primary practice location
140 W Main St
Cuba, NY 14727-1317
Mailing address
333 N Frederick St
Apt 206
Cape Girardeau, MO 63701-5660
Phone (585) 968-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035340 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1306286869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N FREDERICK ST",
"address_2": "APT 206",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637015660",
"telephone_number": "585-968-2000",
"fax_number": "585-968-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W MAIN ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271317",
"telephone_number": "585-968-2000",
"fax_number": "585-968-3898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKKA",
"first_name": "SRI",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cuba, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.