Individual provider Active NPI

Krishneshwar Kamineni

  • Physical Therapist
  • New York, NY
National Provider Identifier
1750686986
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032681 Issued in NY
Practice address
501 5TH Ave
Suite 1204
New York, NY 10017-6107
Phone
(646) 998-8128
Fax
(646) 998-8038
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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 032681 NY Primary

Addresses

Primary practice location

501 5TH Ave
Suite 1204
New York, NY 10017-6107

Mailing address

3116 68TH St
Apt 3D
Woodside, NY 11377-1236
Phone (646) 998-8128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013002924 FL Practitioner - Physical Therapist in Private Practice 7113414368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11515 Meadowrun Cir
Fort Myers, FL 33913-9066

507 E University Ave
Royal Oak, MI 48067-1827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032681NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Care LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23259/brand/3/csg/1/fhir/r4

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": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1750686986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 68TH ST",
            "address_2": "APT 3D",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771236",
            "telephone_number": "646-998-8128",
            "fax_number": "646-998-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 5TH AVE",
            "address_2": "SUITE 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176107",
            "telephone_number": "646-998-8128",
            "fax_number": "646-998-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINENI",
        "first_name": "KRISHNESHWAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.