Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chandana Gudavalli, PT

Individual provider Physical Therapist · NPI 1780385815

Chandana Gudavalli, PT is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2022, 4 years ago. Practices with Rb Physical and Occupational Therapy, PLLC, a 312-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

31 New Dorp Ln
Staten Island, NY 10306-2351
Phone: (718) 979-5236
Fax: (718) 979-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 050052 (NY)

Record details

NPI number1780385815
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 15, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Rb Physical And Occupational Therapy, Pllc — 312 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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