Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAGHAVENDRA KAKKERA
Active Sole ProprietorRAGHAVENDRA KAKKERA is a Physical Therapy Assistant healthcare provider located in HICKSVILLE, New York. NPI 1528604394 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HICKSVILLE, NY
Registration Details
- NPI Number
- 1528604394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2019 (6.7203799159726 yrs)
- Last Updated
- Mar 14, 2023
- Licenses
-
29147 (MD)044289 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24 WASHINGTON AVEHICKSVILLE, NY, 118012121Browse NY providers · Browse ZIP 11801
- Phone
- 5126507156
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in HICKSVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| MR. PAUL L GRUMBACK | PT LAC | 1588653687 |
| CYNTHIA HAMBY | PT | 1407834484 |
| MR. FARID H ARROYAVE | MS PT | 1821034810 |
| MR. PETER A CHIDICHIMO | PT | 1184729246 |
| MR. JAWED AKBER KHAN | PT | 1538257324 |
| DANIEL OEST | P.T. | 1336223627 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.