Rajitha Bharatan, MSPT

Individual provider Active NPI Physical Therapist · Stamford, CT

NPI 1831480581 · NPPES record last updated Apr 28, 2011

Key facts

NPI
1831480581
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
030072 (NY)
Practice address
95 Morgan St
Apt 11D
Stamford, CT 06905-5474
Phone
(203) 391-8745
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
030072NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist Current
since Oct 8, 2024
Accepting new patients
Legacy Healthcare Services Inc Physical Therapist Current
since Oct 8, 2024
Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030072 NY Yes

Addresses

Primary practice location

95 Morgan St
Apt 11D
Stamford, CT 06905-5474

Mailing address

95 Morgan St
Apt 11D
Stamford, CT 06905-5474
Phone (203) 391-8745

Other providers in Stamford, CT

All providers in Stamford, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.