Raghurami B Reddy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1080695 Issued in TX

Practice address

3475 Fannin St
Beaumont, TX 77701-3807

Phone

(409) 832-4141

Fax

(409) 832-8484

NPI assigned

Dec 15, 2006

Last updated

Jul 28, 2010By 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 1

Addresses

Other identifiers 5

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.

• R.B. Reddy Enterprises, Inc

  dba Reddy's Physical Therapy Clinic

  • Physical Therapist
  • Beaumont, TX
  • NPI 1932261625
  NPD (past) Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1669534400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013807",
            "telephone_number": "409-832-4141",
            "fax_number": "409-832-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013807",
            "telephone_number": "409-832-4141",
            "fax_number": "409-832-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RAGHURAMI",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1080695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX TRUE CHOICE",
            "identifier": "272200600",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX PROVIDER #",
            "identifier": "8T0316",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER#",
            "identifier": "7700063",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER#",
            "identifier": "002240693001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PERSOAL ID",
            "identifier": "3341234",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Real Life Healthcare, LLC
• Megan Rebollar, LVN
• Recovery Council of Southeast Texas
• Redds Ambulance Service Inc (Redd's Ambulance Service)
• Keshava Cheruku Reddy
• Elizabeth Reedy
• Chelsea Reese, PA-C
• Reeti K Joshi, MD PA (Advanced Rheumatology Associates)
• Rehab and Physical Therapy Specialists of BMT (Williams West End Rehab)
• John Charles Reimers, D.D.S.

• Physical Therapist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.