NPI 1184267643 · live from the CMS NPI Registry
Vinaya Balaraju, PT
Physical Therapist in Washington, DC. National Provider Identifier 1184267643, active.
NPI record
| NPI | 1184267643 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3050 Military Rd Nw, Washington, DC 20015 |
| Practice phone | 202-596-3103 |
| Mailing address | 9307 Glenbrook Rd, Fairfax, VA 22031 |
| Enumerated | October 28, 2019 |
| Last updated | October 29, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT871212 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.