Roopa Rayadurg

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT24408 Issued in CA

Practice address

242 Ferndale Way
Emerald Hills, CA 94062-3906

Phone

(650) 274-8719

NPI assigned

Nov 26, 2017

Last updated

Nov 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Practice roles

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.

• Therapy in Your Home - OT, PT, St

  • Occupational Therapist
  • Los Gatos, CA
  • NPI 1558392423
  NPD

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511654400000",
    "number": "1659885838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 FERNDALE WAY",
            "city": "EMERALD HILLS",
            "state": "CA",
            "postal_code": "940623906",
            "telephone_number": "650-274-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 FERNDALE WAY",
            "city": "EMERALD HILLS",
            "state": "CA",
            "postal_code": "940623906",
            "telephone_number": "650-274-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYADURG",
        "first_name": "ROOPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-26",
        "last_updated": "2017-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT24408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lehr Anning
• Sandra Lee Lillie, PH.D.
• Meridian Medical (Emont Medicine)
• Lilly Morrison
• Jamie Mueller, RN, BSN, IBCLC
• B. Annye Rothenberg, PH.D.
• Stephanie Lynn Tambe
• Daria Vinogradova
• Beth Anne Walton, MFT

• Physical Therapy Clinic/Center in Emerald Hills, CA
• Providers in Emerald Hills, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; 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.