Raja Audi, P.T., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1169178 Issued in TX

Practice address

530 Buckingham Rd Apt 716
Richardson, TX 75081-5733

Phone

(402) 305-2055

NPI assigned

Mar 7, 2007

Last updated

Apr 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

84.26 of 100Reported as group

Quality

89.74

Improvement activities

40

Cost

61.81

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1982735619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BUCKINGHAM RD APT 716",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815733",
            "telephone_number": "402-305-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BUCKINGHAM RD APT 716",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815733",
            "telephone_number": "402-305-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDI",
        "first_name": "RAJA",
        "name_prefix": "Mr.",
        "credential": "P.T., DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1169178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS GROUP ID",
            "identifier": "93JN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER'S NPI NUMBER",
            "identifier": "1164403036",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.T. LICENSE NUMBER",
            "identifier": "1169178",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.