Individual provider Active NPI

Pramuk Peliyagoda, DPT

  • Physical Therapist
  • Englewood, CO
National Provider Identifier
1538868112
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020228 Issued in CO
Practice address
401 W Hampden PL
Englewood, CO 80110-2470
Phone
(303) 781-7511
NPI assigned
Mar 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 PTL26645 MA
Physical Therapist 225100000X PTL.0020228 CO Primary

Addresses

Primary practice location

401 W Hampden PL
Englewood, CO 80110-2470

Mailing address

6336 Gladiola Cir
Chino Hills, CA 91709-4522
Phone (949) 793-5141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230308002437 MA Practitioner - Physical Therapist in Private Practice 5294108437 Reassigns benefits to 1 organization
I20250416000771 CA Practitioner - Physical Therapist in Private Practice 5294108437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1663 Greenfield Dr
El Cajon, CA 92021-3520
Phone (619) 440-5752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0020228COMDPhysical Therapist
PTL26645MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Atrius Health, Inc. Physical Therapist Current Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Jan 26, 2023 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
Atrius Health, Inc. Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Eggleton Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422

2437 Fenton St
Ste B
Chula Vista, CA 91914
Phone (619) 656-5176

1663 Greenfield Dr
El Cajon, CA 92021
Phone (619) 401-7913

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

147 Milk St
Boston, MA 02109
Phone (617) 421-2508

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 10

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": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1538868112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 GLADIOLA CIR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094522",
            "telephone_number": "949-793-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W HAMPDEN PL",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102470",
            "telephone_number": "303-781-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELIYAGODA",
        "first_name": "PRAMUK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL26645",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.