Active NPI
Kiran Mayee Lakkarajula Subuddi
- Physical Therapist
- Upper Arlington, OH
National Provider Identifier
1841835139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017152
- Practice address
- 3120 Northwest Blvd
Upper Arlington, OH 43221-2234 - Phone
- (832) 835-8727
- NPI assigned
- Nov 11, 2019
- Last updated
- Nov 11, 2019
- Sex
- Female
- 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 | PT017152 | OH | Primary |
Addresses
Primary practice location
3120 Northwest Blvd
Upper Arlington, OH 43221-2234
Mailing address
3120 Northwest Blvd
Upper Arlington, OH 43221-2234
Phone (832) 835-8727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017152 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1841835139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 NORTHWEST BLVD",
"city": "UPPER ARLINGTON",
"state": "OH",
"postal_code": "432212234",
"telephone_number": "832-835-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 NORTHWEST BLVD",
"city": "UPPER ARLINGTON",
"state": "OH",
"postal_code": "432212234",
"telephone_number": "832-835-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKKARAJULA SUBUDDI",
"first_name": "KIRAN MAYEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-11",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT017152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Arlington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.