Rajendra Pusuluri

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63619 Issued in OR

Practice address

2615 Portland Rd NE
Salem, OR 97301-0124

Phone

(503) 383-1053

Fax

(971) 771-0071

NPI assigned

Sep 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Utah School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Hwy PT Clinic LLC

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1073212684

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1760884308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MADISON ST NE # 1070",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017862",
            "telephone_number": "503-560-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PORTLAND RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010124",
            "telephone_number": "503-383-1053",
            "fax_number": "971-771-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSULURI",
        "first_name": "RAJENDRA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "63619",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Pureco
• Purehealth Medical Clinic, Corp
• William Ebbert Purnell Jr., MD
• Allison Marie Purvine, APRN, FNP-C
• Mark Puscas, M.D.
• Eric J Putz, M.D.
• Chase Pyne
• Brynn Pyper, MA
• Elizabeth Quackenbush, PSYD
• Ross Allen Quackenbush, PSY.D.

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.