Prachi Raisoni

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62-035307 Issued in NY

Practice address

61 Broadway RM 2824
New York, NY 10006-2816

Phone

(212) 981-1977

NPI assigned

Jul 3, 2014

Last updated

Jul 3, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Interfysio, LLC.

  • Case Management Agency
  • New York, NY
  • NPI 1790929016
  NPD (past)

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1811303415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 LAMONT AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732754",
            "telephone_number": "817-874-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BROADWAY RM 2824",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062816",
            "telephone_number": "212-981-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISONI",
        "first_name": "PRACHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62-035307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainier Center, LLC (Rainier Center for Mental Health and Wellness)
• Nathan Philip Rainwater
• Shera Raisen, M.D.
• Arthur Raisfeld, DC
• Kristen Elise Raisner
• Farbod Raiszadeh, MD, PHD
• Anthony Valentine Raiteri, MD
• Fumi Matsuki Raith, LCSW
• Roheen Raithatha, M.D.
• Halit Raitses, LAC

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.