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1497953319 NPI number — RADHIKA PRIYA IPPATOORI MSPT

NPI Number: 1497953319
Health Care Provider/Practitioner: RADHIKA PRIYA IPPATOORI MSPT

Information about “1497953319” NPI (RADHIKA PRIYA IPPATOORI MSPT) exists in 1497953319 in HTML format HTML  |  1497953319 in plain Text format TXT  |  1497953319 in PDF (Portable Document Format) PDF  |  1497953319 in an XML format XML  formats.

NPI Number : 1497953319 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497953319",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IPPATOORI",
    "FirstName": "RADHIKA",
    "MiddleName": "PRIYA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5213 HICKORY PARK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLEN ALLEN",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23059-2617",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "48-137-1188",
    "MailingAddressFaxNumber": "--",
    "FirstLinePracticeLocationAddress": "5213 HICKORY PARK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLEN ALLEN",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23059-2617",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-813-7118",
    "PracticeLocationAddressFaxNumber": "--",
    "EnumerationDate": "07/03/2007",
    "LastUpdateDate": "04/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "2305204530",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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