Sibu Kappumkal Varghese, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

P21256 Issued in NC

Practice address

162 Legacy Oaks Dr # 2102
Knightdale, NC 27545-6556

Phone

(919) 373-1799

NPI assigned

May 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, IL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians

Reinvent Health Inc.Group PAC ID 2264964477, 38 clinicians

Sommo LLCGroup PAC ID 0446558803, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Illinois Luna Care Physical Therapy LLC

  • Physical Therapist
  • Naperville, IL
  • NPI 1033755566
  Medicare reassignment Care Compare group NPD
• Reinvent Health Inc

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1215763206

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sommo LLC

  • Physical Therapy Clinic/Center
  • Glenview, IL
  • NPI 1639530371

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Duke University Health System, Inc.

  • Certified Registered Nurse Anesthetist
  • Durham, NC
  • NPI 1558392977

  Physical Therapist

  Medicare reassignment NPD
• Illinois Home Therapy LLC

  • Physical Therapist
  • Skokie, IL
  • NPI 1114506102
  Medicare reassignment NPD
• Orthopaedic and Rehabilitation Centers SC

  • Pediatric Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1679781355
  Medicare reassignment NPD
• Reps and Recover LLC

  • Orthopedic Physical Therapist
  • Northbrook, IL
  • NPI 1134071558
  NPD Authorized official
• Duke University Health System, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Durham, NC
  • NPI 1427187525
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1366189656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 ISTRIAN WAY APT 302",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276107160",
            "telephone_number": "847-942-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 LEGACY OAKS DR # 2102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456556",
            "telephone_number": "919-373-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SIBU",
        "middle_name": "KAPPUMKAL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21256",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NC",
            "license": "P21256",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P21256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unc Physicians Network, LLC
• Unc Physicians Network, LLC
• Uniquelyu Counseling
• Universal Mental Health Services, Inc.
• Kimberly Lynette Vann-Hunt, M.ED. CCC-SLP
• VCP Raleigh, LLC
• Serenity Vensko, PHARMD
• Victorious Healthcare Inc
• Village Rehabilitation and Consulting Clinic, LLC
• Vital Health Services, LLC

• Orthopedic Physical Therapist in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.