Extend Physical Therapy PLLC
NPI 1609556190ActiveOrganization· Physical Therapist· Highland, NY
Physical Therapist in Highland, New York, registered in NPPES in July 2023. The authorized official on file is Venkata Ramana Reddy Jalapu, MPT, DPT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609556190 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2023 |
| Last updated in NPPES | Jul 20, 2023 |
| Certified by provider | Jul 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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