Individual provider Active NPI

Venkata Ramana Reddy Jalapu, MPT, DPT

  • Physical Therapist
  • Middletown, NY
National Provider Identifier
1861037434
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038626 Issued in NY
Practice address
203 Wickham Ave Ste 104
Middletown, NY 10940-3852
Phone
(845) 775-3625
Fax
(845) 203-1913
NPI assigned
Nov 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 038626 NY Primary

Addresses

Primary practice location

203 Wickham Ave Ste 104
Middletown, NY 10940-3852

Mailing address

203 Wickham Ave Ste 104
Middletown, NY 10940-3852
Phone (845) 775-3625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815000234 NY Practitioner - Physical Therapist in Private Practice 2264894872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

158 Vineyard Ave
Highland, NY 12528-2327
Phone (845) 293-2599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Hudson Chiropractic and Physical Therapy PLLC CurrentSince Oct 16, 2022 Accepting new patients
Extend Physical Therapy PLLC Physical Therapist CurrentSince Jul 24, 2023 Accepting new patients

Locations

158 Vineyard Ave
Highland, NY 12528
Phone (845) 293-2599

203 Wickham Ave
Ste 104
Middletown, NY 10940
Phone (845) 775-3625

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1861037434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WICKHAM AVE STE 104",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403852",
            "telephone_number": "845-775-3625",
            "fax_number": "845-203-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WICKHAM AVE STE 104",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403852",
            "telephone_number": "845-775-3625",
            "fax_number": "845-203-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALAPU",
        "first_name": "VENKATA RAMANA REDDY",
        "name_prefix": "Dr.",
        "credential": "MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.