Rajavarman Rajendran, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011513

Practice address

2346 Wisteria Dr
Suite 110
Snellville, GA 30078-8847

Phone

(404) 889-8826

NPI assigned

Sep 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundation Therapy Center - North Atlanta, LLCGroup PAC ID 6204740046, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Foundation Therapy Center - North Atlanta, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1962460451
  Medicare reassignment Care Compare group NPD
• Foundation Therapy Center-Alpharetta, LLC

  • Physical Therapist
  • Roswell, GA
  • NPI 1447283635
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1366775199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 BERGERON PLACE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-558-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 WISTERIA DR",
            "address_2": "SUITE 110",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300788847",
            "telephone_number": "404-889-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJENDRAN",
        "first_name": "RAJAVARMAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1177460",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT011513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021738201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R.V. Dronavalli, M.D., P.C.
• Jerry L. Racioppi, D.D.S.
• Radiant Faith Home Care
• George Kaleel Rafeedie, MD.
• Shahid Rafique, M.D.
• Hannah Malaya Ramelb, PA-C
• Samantha Cierra Rankine
• Queen-Esther Adaobi Raphael
• Katelyn Ratcliff
• Starr Chyan Rayford, M.S., CCC-SLP

• Physical Therapist in Snellville, GA
• Providers in Snellville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.