Sivarajan Periya Perumal Kadarkaraiyandi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17084 Issued in NC

Practice address

211 Milton Brown Heirs Rd # 8708
Boone, NC 28607-8708

Phone

(828) 264-6720

NPI assigned

May 15, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1659861698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MILTON BROWN HEIRS RD # 8708",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MILTON BROWN HEIRS RD # 8708",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078708",
            "telephone_number": "828-264-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIYA PERUMAL KADARKARAIYANDI",
        "first_name": "SIVARAJAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Boone, NC
• Providers in Boone, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.