Naga Sunil Reddy Reddammagari

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

037659 Issued in NY

Practice address

256 Sunset Lake Rd
Liberty, NY 12754-2847

Phone

(845) 292-8640

NPI assigned

Mar 4, 2014

Sex

Male

Sole proprietor

No

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Esd PT OT and SLP PLLCGroup PAC ID 5991044125, 77 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Esd PT OT & SLP PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003383308
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1609291301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GRANT ST",
            "address_2": "1G",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127546400",
            "telephone_number": "870-340-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SUNSET LAKE RD",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542847",
            "telephone_number": "845-292-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDAMMAGARI",
        "first_name": "NAGA SUNIL REDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariya Vladimirovna Protsak, M.S. CCC-SLP
• Lynne Rachlin, LCSW
• Liat Radetsky, LMSW
• Vicki Lee Ramie-Tripido, OTR
• Novalyn Ramos, RPT
• Refuah Health Center, Inc.
• Heidi Jane Reimer, LMSW
• Adelaida Reyes
• Lawrence Frederick Richman, D.D.S.
• Rebecca Lynn Rielly, RN

• Physical Therapist in Liberty, NY
• Providers in Liberty, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.