Vijetha Mudireddi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042366 Issued in NY

Practice address

1550 Empire Blvd
Webster, NY 14580-2196

Phone

(585) 671-4300

NPI assigned

Jan 8, 2018

Sex

Female

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 TX

Enrollment records 1

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.

• Care Physical Therapy PLLC

  • Physical Therapist
  • Leander, TX
  • NPI 1295509701
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Georgetown, TX
  • NPI 1952531154
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1881101152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802196",
            "telephone_number": "585-671-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802196",
            "telephone_number": "585-671-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDIREDDI",
        "first_name": "VIJETHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Louise Morris, LPN
• Joan C Morris
• Mallorie Eugia Morris, RN
• Michelle Marie Mottshaw, LMT
• James Moy, PHARM.D.
• Vivian Mulcahy, LPN
• Rebecca Cinelli Mull
• David G Munnell, LMT
• Rafael Arturo Munoz Jr.
• Daniel Munson, RPH

• Physical Therapist in Webster, NY
• Providers in Webster, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.