Pradeep Edupuganti, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5025 Issued in NM

Practice address

5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210

Phone

(575) 915-1338

NPI assigned

Jun 14, 2010

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

NM Family Services LLCGroup PAC ID 3274754775, 8 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.

• NM Family Services LLC

  • Physical Therapist
  • Santa Teresa, NM
  • NPI 1649697657
  Medicare reassignment Care Compare group NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1427454164
  Medicare reassignment Care Compare group NPD
• Apt Health & Wellness LLC

  dba Tender Care Rehabilitation & Wellness

  • Physical Therapy Clinic/Center
  • El Paso, TX
  • NPI 1790204220

  Physical Therapist

  Medicare reassignment NPD
• NM Family Services LLC

  • Psychologist
  • Sunland Park, NM
  • NPI 1225426356
  NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD
• NM Integrated Solutions

  dba NM Integrated Solution

  • Multi-Specialty Clinic/Center
  • Las Cruces, NM
  • NPI 1063147270
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1659692606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 ESCONDIDO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122977",
            "telephone_number": "915-300-1330",
            "fax_number": "915-833-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 RIO BRAVO DR STE 10",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089210",
            "telephone_number": "575-915-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Escondido Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799122977",
            "country_code": "US",
            "telephone_number": "915-300-1330",
            "fax_number": "915-833-4581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDUPUGANTI",
        "first_name": "PRADEEP",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1196020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1196020",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61720232",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anajahel Dominguez
• Ricky Dominguez
• Daisy Dozal, LMSW
• Juanita Duarte
• Cassandra Duran
• Sai Sindhura Edupuganti
• Jeanette Edwards
• Anila Ejjigani, MD
• Rafael Elizondo
• Jacqueline Escobedo

• Physical Therapist in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.