Innocent Urayai Rwakonda, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010414L Issued in PA

Practice address

218A Shore Drive
Montague, NJ 07827-0263

Phone

(973) 293-8351

Fax

(973) 293-8351

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Physical Therapy and Wellness IncGroup PAC ID 8224304712, 8 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Physical Therapy & Wellness Inc

  • Physical Therapist
  • Milford, PA
  • NPI 1164718862
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386790467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1263",
            "city": "MONTAGUE",
            "state": "NJ",
            "postal_code": "078270263",
            "telephone_number": "973-293-8351",
            "fax_number": "973-293-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218A SHORE DRIVE",
            "city": "MONTAGUE",
            "state": "NJ",
            "postal_code": "078270263",
            "telephone_number": "973-293-8351",
            "fax_number": "973-293-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RWAKONDA",
        "first_name": "INNOCENT",
        "middle_name": "URAYAI",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010414L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rha Health Services NJ LLC
• Rha Health Services NJ LLC
• Nilda Margarita Rivera, LPC
• Shekera Robinson, COTA
• Sarah E Rome, DPT
• Shoprite Supermarkets, Inc (Shoprite Pharmacy of Montague)
• Sussex County Pediatric Associates
• Yiou Wang, DMD
• Eric Williams
• Willowglen Academy - New Jersey. Inc.

• Physical Therapist in Montague, NJ
• Providers in Montague, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.