Active NPI
Meghana Aniruddha Potnis, PT
- Physical Therapist
- Wexford, PA
National Provider Identifier
1457550592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016912
- Practice address
- 5500 Brooktree Rd
Suite 102
Wexford, PA 15090-9260 - Phone
- (724) 940-3468
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PT016912 | PA | Primary |
Addresses
Primary practice location
5500 Brooktree Rd
Suite 102
Wexford, PA 15090-9260
Mailing address
2144 Sugar Maple LN
Furlong, PA 18925-1534
Phone (610) 831-2177
Other names 1
- Meghana Vasudeo Kavimandan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Woodland Dr
Lansdale, PA 19446-1418
Phone (267) 991-6040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016912 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Namaste Rehab Clinics LLC | Physical Therapist | Current | Accepting new patients |
| Namaste Rehab LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 3
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.
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- Physical Therapist
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- NPI 1518855469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1457550592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2144 SUGAR MAPLE LN",
"city": "FURLONG",
"state": "PA",
"postal_code": "189251534",
"telephone_number": "610-831-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BROOKTREE RD",
"address_2": "SUITE 102",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909260",
"telephone_number": "724-940-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTNIS",
"first_name": "MEGHANA",
"middle_name": "ANIRUDDHA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHANA",
"last_name": "KAVIMANDAN",
"middle_name": "VASUDEO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.