Individual provider Active NPI

Yugandhar Arja, PT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1467881193
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034875-1 Issued in NY
Practice address
27 W Squire Dr Apt 8
Rochester, NY 14623-1747
Phone
(636) 697-6173
NPI assigned
Nov 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034875-1 NY Primary

Addresses

Primary practice location

27 W Squire Dr Apt 8
Rochester, NY 14623-1747

Mailing address

27 W Squire Dr Apt 8
Rochester, NY 14623-1747
Phone (636) 697-6173

Other identifiers 1

IdentifierTypeStateIssuer
034875-1OtherNYNYSED

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
034875-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1467881193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W SQUIRE DR APT 8",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231747",
            "telephone_number": "636-697-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W SQUIRE DR APT 8",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231747",
            "telephone_number": "636-697-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARJA",
        "first_name": "YUGANDHAR",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034875-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "034875-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.