Kalyan Chakravarthi Peddineni

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

037525 Issued in NY

Practice address

382 Baldwin Ave Apt 3
Jersey City, NJ 07306-2054

Phone

(240) 782-5141

NPI assigned

Nov 7, 2021

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richmond Physical Therapy, PC

  • Physical Therapist
  • Staten Island, NY
  • NPI 1053644153

  NY

  Medicare reassignment Care Compare group
• Ajay 28 LLC

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1609342898
  NPD
• B & L Health Inc

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1023229416
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richmond Physical Therapy, PC 15 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BJEBCD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2026.

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781395200000",
    "number": "1689339335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 BALDWIN AVE APT 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062054",
            "telephone_number": "240-782-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 BALDWIN AVE APT 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062054",
            "telephone_number": "240-782-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3377 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103122035",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1785 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103032107",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "382 Baldwin Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073062054",
            "country_code": "US",
            "telephone_number": "240-782-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2627 Hylan Blvd # A2",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103064344",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDDINENI",
        "first_name": "KALYAN",
        "middle_name": "CHAKRAVARTHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-07",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Care Transportation Inc
• Peace Health Care Services LLC
• Kierra Monique Pean, PSYD
• Gloria Pecherski, L.S.W.
• Kayla Pechter
• Jill Ann Pedersen, LICSW
• Pedi Practices
• Pediatric Clinic of North Jersey
• Pediatric Home PT LLC
• Pediatric Practice

• All providers in Jersey City, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.