Active NPI
Sirisha Mannepalli, P.T.
- Physical Therapist
- Palm Harbor, FL
National Provider Identifier
1518014828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 32170
- Practice address
- 3981 Wellington Pkwy
Palm Harbor, FL 34685-1172 - Phone
- (727) 787-2049
- NPI assigned
- Jan 5, 2007
- Last updated
- Mar 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011712 | MI | |
| Physical Therapist | 225100000X | PT 32170 | FL | Primary |
Addresses
Primary practice location
3981 Wellington Pkwy
Palm Harbor, FL 34685-1172
Mailing address
3981 Wellington Pkwy
Palm Harbor, FL 34685-1172
Phone (727) 787-2049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 32170 | Other | FL | PHYSICAL THERAPY LICENSE |
| 5501011712 | Other | MI | PHYSICAL THERAPY |
Other names 1
- Sirisha Putumbaka
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 32170 | FL | MD | Physical Therapist |
| 5501011712 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489881600000",
"number": "1518014828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3981 WELLINGTON PKWY",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346851172",
"telephone_number": "727-787-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3981 WELLINGTON PKWY",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346851172",
"telephone_number": "727-787-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNEPALLI",
"first_name": "SIRISHA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2017-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011712",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 32170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT 32170",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "5501011712",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SIRISHA",
"last_name": "PUTUMBAKA",
"credential": "P.T.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Palm Harbor, FL
- Edgar Malpartida, MD
- Alexandra Mancuso, PT
- Eric Jay Mandell, LCSW
- Robert Michael Manestar, DC
- Sandra Deborah Mann, M.D.
- Manning & Resovsky Inc (Peaceful House ALF)
- Manning & Resovsky, Inc.
- Lauren Manning, DC, MS
- Manor Care of Palm Harbor FL LLC (ProMedica Skilled Nursing and Rehabilitation (Palm Harbor))
- Katherine Manrique, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.