Individual provider Active NPI

Nikhila Vemaraju, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1649781295
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040258-1 Issued in NY
Practice address
468 Lafayette Ave
Brooklyn, NY 11205-4809
NPI assigned
Oct 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20171114001483 NY Practitioner - Physical Therapist in Private Practice 7315203031 Reassigns benefits to 2 organizations

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
Dreiser Physical Therapy and Rehabilitation PCGroup PAC ID 0648455352, 4 clinicians

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

LicenseStateTypeSpecialty
040258-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dreiser Physical Therapy and Rehabilitation PC CurrentSince Aug 18, 2020 Accepting new patients
Medcare, LLC Physical Therapist CurrentSince Oct 20, 2017 Accepting new patients
Lafayette Medical Office, PC Physical Therapist PastSince Oct 20, 2017 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.

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.

Verify at the official NPI Registry.