Provider Demographics
NPI:1861037434
Name:JALAPU, VENKATA RAMANA REDDY (MPT, DPT)
Entity Type:Individual
Prefix:DR
First Name:VENKATA RAMANA REDDY
Middle Name:
Last Name:JALAPU
Suffix:
Gender:M
Credentials:MPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 WICKHAM AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-3852
Mailing Address - Country:US
Mailing Address - Phone:845-775-3625
Mailing Address - Fax:845-203-1913
Practice Address - Street 1:203 WICKHAM AVE STE 104
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3852
Practice Address - Country:US
Practice Address - Phone:845-775-3625
Practice Address - Fax:845-203-1913
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist