Active NPI
Sireesha Chintapalli
- Physical Therapist
- North Wilkesboro, NC
National Provider Identifier
1750642302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12705
- Practice address
- 121 Morrisfield LN
Apt 1
North Wilkesboro, NC 28659-7356 - Phone
- (336) 262-5115
- NPI assigned
- May 30, 2012
- Last updated
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12705 | NC | Primary |
Addresses
Primary practice location
121 Morrisfield LN
Apt 1
North Wilkesboro, NC 28659-7356
Mailing address
121 Morrisfield LN
Apt 1
North Wilkesboro, NC 28659-7356
Phone (336) 262-5115
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12705 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1750642302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MORRISFIELD LN",
"address_2": "APT 1",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286597356",
"telephone_number": "336-262-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MORRISFIELD LN",
"address_2": "APT 1",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286597356",
"telephone_number": "336-262-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINTAPALLI",
"first_name": "SIREESHA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "12705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.