Individual provider Active NPI

Naveen Kumar Palapogu, PT

  • Physical Therapist
  • Edenton, NC
National Provider Identifier
1508634577
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23891 Issued in NC
Practice address
119 Mill Creek Rd
Edenton, NC 27932-8402
Phone
(336) 466-4768
NPI assigned
Dec 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 051273 NY
Physical Therapist 225100000X P23891 NC Primary

Addresses

Primary practice location

119 Mill Creek Rd
Edenton, NC 27932-8402

Mailing address

355 Post Ave Ste 104
Westbury, NY 11590-2265

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
051273NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Rehabilitation Inc Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients
Oyster Bay Physical Therapy, PC Physical Therapist CurrentSince Mar 23, 2024 Accepting new patients
Coastal Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

115 Loftin Ln
Ahoskie, NC 27910
Phone (252) 209-0901

701 Luke St
Edenton, NC 27932
Phone (252) 482-7939

101 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2114

503 Cypress Ln
#A
Manteo, NC 27954
Phone (252) 338-2114

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1508634577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 POST AVE STE 104",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MILL CREEK RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328402",
            "telephone_number": "336-466-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAPOGU",
        "first_name": "NAVEEN",
        "middle_name": "KUMAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-19",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051273",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.