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

Individual provider Physical Therapist · NPI 1689339335

Kalyan Chakravarthi Peddineni is a Physical Therapist in Private Practice in Jersey City, New Jersey. Qualified in 2023, 3 years ago. Practices with Richmond Physical Therapy, PC, a 15-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

382 Baldwin Ave Apt 3
Jersey City, NJ 07306-2054
Phone: (240) 782-5141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 382 Baldwin Ave Apt 3, Jersey City, NJ 07306-2054 — (240) 782-5141
  • 1785 Forest Ave, Staten Island, NY 10303-2107 — (646) 820-5669
  • 2627 Hylan Blvd # A2, Staten Island, NY 10306-4344 — (646) 820-5669
  • 3377 Richmond Ave, Staten Island, NY 10312-2035 — (646) 820-5669

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 037525 (NY)

Record details

NPI number1689339335
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2021
Last updated in NPPESJune 14, 2026
Certification dateJune 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Richmond Physical Therapy, Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jersey City