Active NPI
Namrata Telugu
- Physical Therapist
- Sullivan, IN
National Provider Identifier
1407272008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008307A
- Practice address
- 505 W Wolfe St
Sullivan, IN 47882-9224 - Phone
- (812) 268-6471
- NPI assigned
- Mar 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008307A | IN | Primary |
Addresses
Primary practice location
505 W Wolfe St
Sullivan, IN 47882-9224
Mailing address
2017 Cobblestone Way S
Terre Haute, IN 47802-5413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008307A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1407272008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 COBBLESTONE WAY S",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478025413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W WOLFE ST",
"city": "SULLIVAN",
"state": "IN",
"postal_code": "478829224",
"telephone_number": "812-268-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELUGU",
"first_name": "NAMRATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008307A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sullivan, IN
- Sullivan Family Practice, LLC
- Sullivan Health & Living Center, Inc.
- Sullivan Rehabilitation & Sports Physical Therapy, Inc.
- Sullivan Surgicenter,LLC
- Alfred R Talens, MD
- Terre Haute Pulmonary & Pediatric Clinic, LLC
- The Waters of Sullivan Skilled Nursing Facility LLC
- Billie J Thurman, N.P.
- Tripps Chiropractic Corp
- Tripps Family Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.