Suresh Kumar Ayyavoo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214912 Issued in VA

Practice address

2620A Gaskins Rd
Henrico, VA 23238-1402

Phone

(804) 396-6753

NPI assigned

Mar 7, 2019

Sex

Male

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rva Physical Therapyand Sports Rehab, LLCGroup PAC ID 0941517049, 5 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 and National Provider Directory roles.

• Rva Physical Therapy& Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Henrico, VA
  • NPI 1851781769

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1871051920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620A GASKINS RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232381402",
            "telephone_number": "804-396-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620A GASKINS RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232381402",
            "telephone_number": "804-396-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYYAVOO",
        "first_name": "SURESH KUMAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Augusto, CERTIFIED NURSE ASSI
• Caitlin Autio, RN
• Dahia L Avent
• Axis Chiropractic PLLC
• Sarah H Ayyad
• Mohammed Azakkour
• Melad Aziz
• B.R.I.C.K. House Youth Services, LLC
• Back to You Counseling Services LLC
• Catherine Bagley, DO

• Physical Therapist in Henrico, VA
• Providers in Henrico, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.