Active NPI
Ruchika Rai Challagulla, P.T
- Geriatric Physical Therapist
- San Diego, CA
National Provider Identifier
1962086025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 40244
- Practice address
- 10505 Sea Pearl CV Unit 11
San Diego, CA 92130-8745 - Phone
- (630) 687-0158
- NPI assigned
- May 5, 2021
- Last updated
- May 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 40244 | CA | Primary |
| Human Factors Physical Therapist | 2251H1300X | 40244 | CA |
Addresses
Primary practice location
10505 Sea Pearl CV Unit 11
San Diego, CA 92130-8745
Mailing address
10505 Sea Pearl CV Unit 11
San Diego, CA 92130-8745
Phone (630) 687-0158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F7830716 | Other | CA | DMV |
Other names 1
- Ruchika Rai Chalasani
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | LAPTOP | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40244 | CA | MD | Human Factors Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1962086025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 SEA PEARL CV UNIT 11",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921308745",
"telephone_number": "630-687-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10505 SEA PEARL CV UNIT 11",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921308745",
"telephone_number": "630-687-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALLAGULLA",
"first_name": "RUCHIKA",
"middle_name": "RAI",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "40244",
"primary": true
},
{
"code": "2251H1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Human Factors",
"state": "CA",
"license": "40244",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMV",
"identifier": "F7830716",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "LAPTOP",
"affiliation": "N",
"endpointDescription": "APPLE MAC BOOK AIR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PERSONAL COMPUTER",
"address_1": "10505 Sea Pearl Cv Unit 11",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921308745",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RUCHIKA",
"last_name": "CHALASANI",
"middle_name": "RAI",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.