Organization Active NPI

Naledi Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1316753783
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NALEDI PHYSICAL THERAPY PLLC
Practice address
140 Riverside Dr Ste 1-O
New York, NY 10024-2605
Phone
(347) 267-0743
Fax
(877) 871-0666
NPI assigned
Dec 10, 2024
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Divya RajaramanNPI 1134886872
Title
Owner
Phone
(347) 267-0743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

140 Riverside Dr Ste 1-O
New York, NY 10024-2605

Mailing address

535 W 110TH St Apt 15C
New York, NY 10025-2065
Phone (347) 267-0743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250106000820 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759819733 Receives reassigned benefits from 7 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1316753783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W 110TH ST APT 15C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252065",
            "telephone_number": "347-267-0743",
            "fax_number": "877-871-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 RIVERSIDE DR STE 1-O",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242605",
            "telephone_number": "347-267-0743",
            "fax_number": "877-871-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NALEDI PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-16",
        "status": "A",
        "authorized_official_last_name": "RAJARAMAN",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-267-0743"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.