Active NPI
Satya Sai Siva Tejaa Panibatla
- Physical Therapist
- Morrisville, NC
National Provider Identifier
1871126771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045242
- Practice address
- 318 Oldcastle Dr
Morrisville, NC 27560-0110 - Phone
- (203) 522-9323
- NPI assigned
- Feb 19, 2020
- Sex
- Male
- 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 | 045242 | NY | Primary |
Addresses
Primary practice location
318 Oldcastle Dr
Morrisville, NC 27560-0110
Mailing address
318 Oldcastle Dr
Morrisville, NC 27560-0110
Phone (203) 522-9323
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 |
|---|---|---|---|
| 045242 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1871126771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 OLDCASTLE DR",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275600110",
"telephone_number": "203-522-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 OLDCASTLE DR",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275600110",
"telephone_number": "203-522-9323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANIBATLA",
"first_name": "SATYA SAI SIVA TEJAA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.