Individual provider Active NPI

Prathima Kodali, PHYSICAL THERAPIST

  • Physical Therapist
  • Webster, TX
National Provider Identifier
1497977821
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1163465 Issued in TX
Practice address
750 W Texas Ave
Webster, TX 77598
Phone
(281) 332-3496
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 1163465 TX Primary

Addresses

Primary practice location

750 W Texas Ave
Webster, TX 77598

Mailing address

4907 Dumfries Dr
Houston, TX 77096-4223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705001141 TX Practitioner - Physical Therapist in Private Practice 6901265289 Reassigns benefits to 4 organizations

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
Saburi Physical Therapy PLLCGroup PAC ID 2062877343, 2 clinicians

Practice addresses (Care Compare)

2201 W Holcombe Blvd
Suite 240
Houston, TX 77030-2096
Phone (570) 580-8467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince May 8, 2024 Accepting new patients
Synergy Care Southeast, LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 8, 2024 Accepting new patients
Saburi Physical Therapy PLLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Baylor College of Medicine CurrentSince May 8, 2024 Accepting new patients

Locations

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

2201 W Holcombe Blvd
Ste 240
Houston, TX 77030
Phone (570) 580-8467

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1608 Bissonnet St
Houston, TX 77005
Phone (570) 580-8467

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1497977821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 DUMFRIES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W TEXAS AVE",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "281-332-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODALI",
        "first_name": "PRATHIMA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1163465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.