Sangeetha Rajyam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031397 Issued in NY

Practice address

149 Old Country Rd
Deer Park, NY 11729-1920

Phone

(607) 220-9068

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

Yes

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

South Shore Atlantic Physical Therapy PLLCGroup PAC ID 8921455700, 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.

• South Shore Atlantic Physical Therapy PLLC

  • Physical Therapist
  • West Islip, NY
  • NPI 1518648724
  Medicare reassignment Care Compare group NPD Authorized official
• Up and on Physicalwellness of Long Island LLC

  • Physical Therapist
  • Deer Park, NY
  • NPI 1972224632
  NPD Authorized official

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1386288249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 OLD COUNTRY RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291920",
            "telephone_number": "607-220-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 OLD COUNTRY RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291920",
            "telephone_number": "607-220-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJYAM",
        "first_name": "SANGEETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fay E Pusey, RN
• Masoom Qadeer, M.D.
• Qadsan
• Nicole Joe-Anne Quattrocchi, OTR/L
• Kristy Marie Raio, ANP
• Emma Ramirez
• Melissa Ramistella
• Valentina Ramku
• Raphaelson Dental Associates LLP
• Ralph B Raphaelson, DDS

• Physical Therapist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.