Active NPI
Nikhila Vemaraju, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1649781295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040258-1
- Practice address
- 468 Lafayette Ave
Brooklyn, NY 11205-4809 - NPI assigned
- Oct 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040258-1 | NY | Primary |
Addresses
Primary practice location
468 Lafayette Ave
Brooklyn, NY 11205-4809
Mailing address
6485 Wetherole St Apt 5E
Rego Park, NY 11374-4047
Phone (859) 420-3461
Other practice location 1
468 Lafayette Ave
Brooklyn, NY 11205-4809
Phone (718) 399-6234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 Dreiser Loop
Bronx, NY 10475-2704
Phone (347) 843-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040258-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreiser Physical Therapy and Rehabilitation PC | Current | Accepting new patients | |
| Medcare, LLC | Physical Therapist | Current | Accepting new patients |
| Lafayette Medical Office, PC | Physical Therapist | Past | Accepting new patients |
Locations
145 Dreiser Loop
Bronx, NY 10475
Phone (347) 843-0900
468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234
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.
-
- Physical Therapy Clinic/Center
- Bronx, NY
- NPI 1023339694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649781295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6485 WETHEROLE ST APT 5E",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744047",
"telephone_number": "859-420-3461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 LAFAYETTE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112054809"
}
],
"practiceLocations": [
{
"address_1": "468 Lafayette Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112054809",
"country_code": "US",
"telephone_number": "718-399-6234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEMARAJU",
"first_name": "NIKHILA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040258-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.