Grace Deles Vedala, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4188 Issued in TN

Practice address

2075 N Germantown Pkwy
Suite108
Cordova, TN 38016-1729

Phone

(901) 336-4902

Fax

(901) 202-9088

NPI assigned

Aug 18, 2009

Sex

Female

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 TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Unique Potential Network, Inc.

  • Physical Therapist
  • Cordova, TN
  • NPI 1881826352
  Medicare reassignment

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1356573828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 ROBY CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164092",
            "telephone_number": "901-336-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 N GERMANTOWN PKWY",
            "address_2": "SUITE108",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161729",
            "telephone_number": "901-336-4902",
            "fax_number": "901-202-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDALA",
        "first_name": "GRACE",
        "middle_name": "DELES",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renga I Vasu, M.D.
• Donnie A Vaughan, HIS
• Thomas W. Vaughan, HIS
• Dominique Nicole Vaughn, AGNP-C
• Lindsey Beth Vaughn, FNP-C
• Raghunath Vedala, MSCCCSLP
• Ashlei Nicole Vester
• Veterans Choice Mental Health Services LLC
• Darrin Vicory
• Victoria Health Services LLC

• Physical Therapist in Cordova, TN
• Providers in Cordova, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.