Individual provider Active NPI

Sreejesh Prabhakaran-Nair, DPT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1689413213
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000031165667 Issued in NC
Practice address
2010 Stratton Hills CT
Greensboro, NC 27410-2571
Phone
(336) 509-9616
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 000031165667 NC Primary

Addresses

Primary practice location

2010 Stratton Hills CT
Greensboro, NC 27410-2571

Mailing address

2010 Stratton Hills CT
Greensboro, NC 27410-2571
Phone (336) 509-9616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000031165667NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurogeron Physical Therapy and Rehabilitation, LLC Physical Therapist CurrentSince May 26, 2024 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": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1689413213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 STRATTON HILLS CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102571",
            "telephone_number": "336-509-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 STRATTON HILLS CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102571",
            "telephone_number": "336-509-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHAKARAN-NAIR",
        "first_name": "SREEJESH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "000031165667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.