Active NPI
Kranthi Bairam
- Physical Therapist
- Flushing, NY
National Provider Identifier
1770207870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049308
- Practice address
- 5512 138TH St
Flushing, NY 11355-5036 - Phone
- (718) 679-5230
- NPI assigned
- Oct 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 049308 | NY | Primary |
Addresses
Primary practice location
5512 138TH St
Flushing, NY 11355-5036
Mailing address
5512 138TH St
Flushing, NY 11355-5036
Phone (718) 679-5230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3244 31St St
Astoria, NY 11106-2561
Phone (718) 707-6970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049308 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In-Motion Physical Therapy, P.C. | Current | Accepting new patients | |
| In-Motion Physical Therapy PC | Current | Accepting new patients | |
| Bienetre Medical PC | Physical Therapist | Current | Accepting new patients |
Locations
1800 White Plains Rd
Bronx, NY 10462
Phone (347) 696-0752
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
Organizations & group practices 3
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.
-
- Specialist
- Astoria, NY
- NPI 1578631727
-
- Physical Therapist
- New York, NY
- NPI 1568037257
-
- Specialist
- Brooklyn, NY
- NPI 1356510184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1770207870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5512 138TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555036",
"telephone_number": "718-679-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5512 138TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555036",
"telephone_number": "718-679-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRAM",
"first_name": "KRANTHI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.