Sangeetha Bulusu, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT15341 Issued in FL

Practice address

19428 Newlane PL
Bradenton, FL 34202-4611

Phone

(630) 303-6319

NPI assigned

Oct 7, 2009

Last updated

Nov 16, 2021By 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 3

Addresses

Other names 1

• Sangeetha Ananth Prabhu Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Hand Therapy LLCGroup PAC ID 0244622108, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Hand Therapy LLC

  • Occupational Therapist
  • Sarasota, FL
  • NPI 1497413280
  Medicare reassignment Care Compare group NPD Authorized official
• Sarasota Orthopedic Associates LLC

  dba 360 Orthopedics

  • Orthopaedic Surgery Physician
  • Nokomis, FL
  • NPI 1013976422
  Medicare reassignment NPD
• Sarasota Orthopedic Associates, LLC

  • Orthopaedic Surgery Physician
  • Lakewood Ranch, FL
  • NPI 1962766576
  NPD

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1851626972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19428 NEWLANE PL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342024611",
            "telephone_number": "630-303-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19428 NEWLANE PL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342024611",
            "telephone_number": "630-303-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULUSU",
        "first_name": "SANGEETHA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007585",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15341",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT15341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANGEETHA",
            "last_name": "PRABHU",
            "middle_name": "ANANTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devon Buck, APN
• Stephanie Bucklew, RMHCI
• Wendy Buckner, RPH
• Emily Bulfin, DPT
• David A Bulley, MD
• Gary M Bunch, MD
• Richard H Bundschu, MD
• Shari A Burbank, APRN
• Erika Burbano
• Holleen A Burcenski, ARNP

• Occupational Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.