R.B. Reddy Enterprises, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1080695 Issued in TX

Legal business name

R.B. REDDY ENTERPRISES, INC

Doing business as

Reddy's Physical Therapy Clinic

Practice address

3475 Fannin St
Beaumont, TX 77701-3807

Phone

(409) 832-4141

Fax

(409) 832-8484

NPI assigned

Dec 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raghurami B Reddy, PTNPI 1669534400

Title

President

Phone

(409) 832-4141

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Reddy's Physical Therapy Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raghurami B Reddy, PT

  • Physical Therapist
  • Beaumont, TX
  • NPI 1669534400
  NPD (past) Authorized official

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1932261625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013807",
            "telephone_number": "409-832-4141",
            "fax_number": "409-832-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013807",
            "telephone_number": "409-832-4141",
            "fax_number": "409-832-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.B. REDDY ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAGHURAMI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-832-4141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1080695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX PROVIDER #",
            "identifier": "0067JB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "7159559",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reddy's Physical Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dario William Quinones, PHARMD
• Elaine Quinones, OT
• Shama P. Quraishi, M.D.
• Absar Ahmed Qureshi, MD
• Ahmad Qurie, M.D.
• R.M.Phillips, D.M.D. and J.R.Laughlin,D.M.D., Inc.
• Radha J Lal MD PA
• Claire V Raesch, LCPC
• Shahid I Rafiq, MD
• Mannal Rahman, DO

• Physical Therapist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.