Individual provider Active NPI

Ramakrishnan Kavaserry, PHYSICAL THERAPIST

  • Physical Therapist
  • Henrico, VA
National Provider Identifier
1972817336
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204964 Issued in VA
Practice address
2620 Gaskins Rd Ste a
Henrico, VA 23238-1402
Phone
(804) 874-2476
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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 2305204964 VA Primary

Addresses

Primary practice location

2620 Gaskins Rd Ste a
Henrico, VA 23238-1402

Mailing address

2620 Gaskins Rd Ste a
Henrico, VA 23238-1402
Phone (804) 396-6753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929000217 VA Practitioner - Physical Therapist in Private Practice 7810205630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rva Physical Therapyand Sports Rehab, LLCGroup PAC ID 0941517049, 5 clinicians

Practice addresses (Care Compare)

2620 Gaskins Rd
Suite a
Henrico, VA 23238-1402
Phone (804) 396-6753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rva Physical Therapy& Sports Rehab, LLC Physical Therapist CurrentSince Jul 1, 2015 Accepting new patients

Locations

2620 Gaskins Rd
#A
Henrico, VA 23238
Phone (804) 396-6753

107 Heaths Way Rd
Midlothian, VA 23114
Phone (804) 396-6753

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1972817336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 GASKINS RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232381402",
            "telephone_number": "804-396-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 GASKINS RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232381402",
            "telephone_number": "804-874-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVASERRY",
        "first_name": "RAMAKRISHNAN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.