Individual provider Active NPI

Kranthi Bairam

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1770207870
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049308 Issued in NY
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

Updated by the provider on Oct 3, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20221201000955 NY Practitioner - Physical Therapist in Private Practice 2668840273 Reassigns benefits to 2 organizations

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
In-Motion Physical Therapy PCGroup PAC ID 1254421282, 6 clinicians

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

LicenseStateTypeSpecialty
049308NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In-Motion Physical Therapy, P.C. CurrentSince Jan 1, 2023 Accepting new patients
In-Motion Physical Therapy PC CurrentSince Jan 1, 2023 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Aug 21, 2025 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.

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.

Verify at the official NPI Registry.