Active NPI
Ranjith Thomas Kuruvilla, MPT
- Physical Therapist
- Orangeburg, NY
National Provider Identifier
1316951908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027352-1
- Practice address
- 99 Dutch Hill Rd
Orangeburg, NY 10962-2185 - Phone
- (845) 398-2800
- Fax
- (845) 398-2818
- NPI assigned
- Jul 28, 2006
- 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 | 027352-1 | NY | Primary |
Addresses
Primary practice location
99 Dutch Hill Rd
Orangeburg, NY 10962-2185
Mailing address
333 Earle Ovington Blvd
Suite 225
Uniondale, NY 11553-3610
Phone (516) 321-2400
Other names 1
- Mr. Renjith Thomas Kuruvilla
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 |
|---|---|---|---|
| 027352-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1316951908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EARLE OVINGTON BLVD",
"address_2": "SUITE 225",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115533610",
"telephone_number": "516-321-2400",
"fax_number": "516-321-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 DUTCH HILL RD",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109622185",
"telephone_number": "845-398-2800",
"fax_number": "845-398-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURUVILLA",
"first_name": "RANJITH",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027352-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENJITH",
"last_name": "KURUVILLA",
"middle_name": "THOMAS",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.