Individual provider Active NPI

Raghupathi Peela

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1962771089
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034559 Issued in NY
Practice address
2752 Ocean Ave
Brooklyn, NY 11229-4706
Phone
(718) 769-9001
Fax
(718) 769-9002
NPI assigned
Dec 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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 034559 NY Primary

Addresses

Primary practice location

2752 Ocean Ave
Brooklyn, NY 11229-4706

Mailing address

2752 Ocean Ave
Brooklyn, NY 11229-4706
Phone (718) 769-9001

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1962771089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294706",
            "telephone_number": "718-769-9001",
            "fax_number": "718-769-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294706",
            "telephone_number": "718-769-9001",
            "fax_number": "718-769-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELA",
        "first_name": "RAGHUPATHI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.