Individual provider Active NPI

Rama Devi Kethu, PT

  • Physical Therapist
  • Concord, NC
National Provider Identifier
1669762464
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15703 Issued in NC
Practice address
9537 Valencia Ave NW
Concord, NC 28027-3535
Phone
(903) 227-7599
NPI assigned
Apr 13, 2011
Last updated
Aug 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP025062T SC
Physical Therapist 225100000X P15703 NC Primary
Physical Therapist 225100000X 5501014661 MI

Addresses

Primary practice location

9537 Valencia Ave NW
Concord, NC 28027-3535

Mailing address

9537 Valencia Ave NW
Concord, NC 28027-3535
Phone (903) 227-7599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211004070 NC Practitioner - Physical Therapist in Private Practice 8820577547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9537 Valencia Ave NW
Concord, NC 28027-3535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014661MIMDPhysical Therapist
P15703NCMDPhysical Therapist
CP025062TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare LLC Physical Therapist CurrentSince Dec 12, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1669762464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9537 VALENCIA AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273535",
            "telephone_number": "903-227-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9537 VALENCIA AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273535",
            "telephone_number": "903-227-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETHU",
        "first_name": "RAMA DEVI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP025062T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15703",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.