Venkata L S Kruthika Damera, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032878 Issued in PA

Practice address

3887 Skippack Pike
Lower Level
Skippack, PA 19474-1487

Phone

(610) 584-1400

Fax

(610) 584-5224

NPI assigned

Dec 5, 2024

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mishock Physical Therapy LPGroup PAC ID 7517100423, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mishock Physical Therapy LP

  • Physical Therapist
  • Gilbertsville, PA
  • NPI 1689011173
  Medicare reassignment Care Compare group NPD
• Mishock Physical Therapy LP

  • Physical Therapist
  • Newtown Square, PA
  • NPI 1003232554
  NPD

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1760298749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N ROUTE 100",
            "city": "BECHTELSVILLE",
            "state": "PA",
            "postal_code": "195059228",
            "telephone_number": "610-845-5000",
            "fax_number": "610-845-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 SKIPPACK PIKE",
            "address_2": "LOWER LEVEL",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194741487",
            "telephone_number": "610-584-1400",
            "fax_number": "610-584-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMERA",
        "first_name": "VENKATA L S KRUTHIKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Cauchon, LPC
• Center for Loss and Bereavement
• Kimberly Eve Cherry, L.AC.,M.AC.,DIPL.AC.
• Consensus Marketing, Inc. (Home Instead Senior Care)
• Tammy L Court-Cudd, MSW, MS
• Victoria Dangelo, LSW
• Jyoti Deshmane, D.M.D.
• Jessica Duke, PT, DPT
• Hannah Feehery, MSED, NCC
• Justin C Flood, D.M.D.

• Physical Therapist in Skippack, PA
• Providers in Skippack, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.