Individual provider Active NPI

Nandita Ramasubramaniam, DPT, MHS

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1497947139
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05008986A Issued in IN
Practice address
1325 E Grandview St
Mesa, AZ 85203-4427
Phone
(401) 569-9071
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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 05008986A IN Primary

Addresses

Primary practice location

1325 E Grandview St
Mesa, AZ 85203-4427

Mailing address

1325 E Grandview St
Mesa, AZ 85203-4427
Phone (401) 569-9071

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

LicenseStateTypeSpecialty
05008986AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balancing Worlds: Myofascial Release, LLC Physical Therapist CurrentSince Aug 2, 2020 Accepting new patients
Solace Pediatric Healthcare Therapy Services Az, Inc. Physical Therapist PastSince Jan 1, 1995 Accepting new patients
Pioneer Pet, LLC Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1497947139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E GRANDVIEW ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034427",
            "telephone_number": "401-569-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E GRANDVIEW ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034427",
            "telephone_number": "401-569-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMASUBRAMANIAM",
        "first_name": "NANDITA",
        "credential": "DPT, MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008986A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.