Jothsna Med Kacharam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049781 Issued in NY

Practice address

Elite Orthopedic and Rehabilitation 253 Route 211 E
Middletown, NY 10940

Phone

(917) 318-5303

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avalon Medical Center, LLCGroup PAC ID 2769827179, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Avalon Medical Center, LLC

  • Clinic/Center
  • New Windsor, NY
  • NPI 1003591447

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Victory Physical Therapy, P.C.

  • Physical Therapist
  • Staten Island, NY
  • NPI 1659595254
  NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1487477907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VICTORY PHYSICAL THERAPY P.C.",
            "address_2": "2550 VICTORY BLVD - SUITE 301",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "917-318-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELITE ORTHOPEDIC AND REHABILITATION 253 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "917-318-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHARAM",
        "first_name": "JOTHSNA",
        "middle_name": "MED",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Joyce, FNP
• Seth Christian Judd, MD
• Jehanne Julien-Banica, D.O.
• Haesin S Jung, DDS PC
• Merve Kacar, MD
• Elizabeth Kadesh, LCSW
• Erin Kahle
• Kaiyuan Acupuncture PC (Dr. Huang Acupuncture)
• Mary Kallmeyer, F-NP
• Karanpreet Singh Kalra, PA-C

• Physical Therapist in Middletown, NY
• Providers in Middletown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.