Individual provider Active NPI

Nishi Manapragada, P. T.

  • Physical Therapist
  • San Ramon, CA
National Provider Identifier
1881085249
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27271 Issued in CA
Practice address
530 Riviera PL
San Ramon, CA 94583-3638
Phone
(510) 299-6247
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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 27271 CA Primary

Addresses

Primary practice location

530 Riviera PL
San Ramon, CA 94583-3638

Mailing address

530 Riviera PL
San Ramon, CA 94583-3638
Phone (510) 299-6247

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1881085249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 RIVIERA PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833638",
            "telephone_number": "510-299-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 RIVIERA PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833638",
            "telephone_number": "510-299-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAPRAGADA",
        "first_name": "NISHI",
        "credential": "P. T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.