| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PRATHYUSHA GOGINENI | 1467018556 | 2023-05-07 |
Prathyusha Gogineni is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467018556. Registration indicates Prathyusha Gogineni is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Prathyusha Gogineni |
| Practice Office Address | 6300 ELLINGTON WOODS DR GLEN ALLEN, VA US |
| Practice Office Telephone | 2766144717 |
| Mailing Address | 6300 ELLINGTON WOODS DR GLEN ALLEN, VA 230592428 US |
| Business Telephone | 2766144717 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 11442 Abbots Cross Ln | Glen Allen, VA 230591103 | 2766144717 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NY |
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
VA |