Seker Medavarapu, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007804 Issued in WA

Practice address

450 Thain Rd Ste a
Lewiston, ID 83501-5300

Phone

(208) 816-8836

Fax

(208) 621-2995

NPI assigned

Dec 14, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sekerm@nimiipuuhealth.directbygreenway.com

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.

• Nez Perce Tribal Health Authority

  dba (DBA) Nimiipuu Health

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Lapwai, ID
  • NPI 1790795888

  TX

  Medicare reassignment NPD
• Columbia Physical Therapy Inc PS

  • Physical Therapist
  • Kennewick, WA
  • NPI 1457397531
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1447312640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 THAIN RD STE A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015300",
            "telephone_number": "208-816-8836",
            "fax_number": "208-621-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 THAIN RD STE A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015300",
            "telephone_number": "208-816-8836",
            "fax_number": "208-621-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1366 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "994032332",
            "country_code": "US",
            "telephone_number": "509-751-1780",
            "fax_number": "509-751-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1366 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "994032332",
            "country_code": "US",
            "telephone_number": "509-751-1780",
            "fax_number": "509-751-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3510 12th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835015575",
            "country_code": "US",
            "telephone_number": "208-816-8836",
            "fax_number": "208-799-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDAVARAPU",
        "first_name": "SEKER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-11-29",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8366544",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0210111",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Devaun McNeil
• Mary McPherson
• Karen Meadows, MED
• Madison Meadows
• Christopher Adam Mecklenburg, PHARMD
• Medical Surgical Group Inc
• Delia Medlin, PH.D.
• Penny Angela Melder, PHARMD
• Leslie Meredith, LMP
• Jenna Andreas Rashell Messick, MS., CCC-SLP

• Physical Therapist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.