MEDICARE: MR. SANJAY REDDY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070013765	IL
2	225100000X	Physical Therapist	292844	CA
3	225100000X	Physical Therapist	PT010578	GA

General Provider Information

NPI Number	:	1801864384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SANJAY REDDY PT

Provider Business Mailing Address
First Line	:	48240 BIRDIE WAY
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-6671
Country	:	US
Telephone Number	:	312-339-8339
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 E TACHEVAH DR STE 107
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7402
Country	:	US
Telephone Number	:	760-459-0003
Fax Number	:	909-890-4393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	12/16/2025

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Directions to “ MR. SANJAY REDDY PT” Practice Location

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