Individual provider Active NPI

Praveen Kumar Garigapati Rabindernath

  • Physical Therapist
  • Weatherford, TX
National Provider Identifier
1508136672
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1212910 Issued in TX
Practice address
521 W 7TH St
Weatherford, TX 76086
Phone
(817) 594-8713
NPI assigned
Jan 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1212910 TX Primary
Physical Therapist 225100000X 5501013687 MI

Addresses

Primary practice location

521 W 7TH St
Weatherford, TX 76086

Mailing address

2324 Buelingo LN
Fort Worth, TX 76131-1632
Phone (215) 900-2718

Other practice location 1

21700 greenflield rd
suite 255
oak park, MI 48237
Phone (248) 850-7139

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
5501013687MIMDPhysical Therapist
1212910TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Touch Physical Therapy LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1508136672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 BUELINGO LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311632",
            "telephone_number": "215-900-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W 7TH ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-594-8713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21700 greenflield rd",
            "address_2": "suite 255",
            "address_purpose": "LOCATION",
            "city": "oak park",
            "state": "MI",
            "postal_code": "48237",
            "country_code": "US",
            "telephone_number": "248-850-7139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARIGAPATI RABINDERNATH",
        "first_name": "PRAVEEN KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1212910",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.