Jyothi Vattikuti

Primary specialty

ContractorTaxonomy code 171W00000X

License

05008617A Issued in IN

Practice address

5980 W 71St St Ste 102
Indianapolis, IN 46278-1785

Phone

(317) 388-0800

Fax

(317) 388-0805

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Durham, NC
  • NPI 1104823400
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Access Therapies,Inc

  • Environmental Modification Occupational Therapist
  • Indianapolis, IN
  • NPI 1780013607
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1568610632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 MAKEFIELD CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275197078",
            "telephone_number": "919-819-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 W 71ST ST STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781785",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTIKUTI",
        "first_name": "JYOTHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IN",
            "license": "05008617A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori R Vasquez, PA-C
• Michelle Vasquez
• James Paul Vastag, MA, LMFT
• Ashwin Kolala Vasudevamurthy, M.D.
• Laura Borgenheimer Vater, MD
• Darlene Kaye Vaughan, DDS
• Amira Vaughn
• Desha Vaughn
• Katie Nicole Vaughn, OTR
• Lakisha Vaughn

• Contractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Contractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.