Kavitha Chand Mamidala
Kavitha Chand Mamidala is a Physical Therapist in Private Practice in Worcester, Massachusetts. Qualified in 2000, 26 years ago. Practices with Reliant Medical Group Inc, a 638-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New York.
- Years since qualifying
- 26
- Licensed in
- MA, NY
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
50 Gold Star BlvdWorcester, MA 01606
Phone: (508) 856-9510
Fax: (508) 853-1907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1346 Midland Ave, Bronxville, NY 10708-6840 — (917) 319-9152
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 20467 (MA) |
|---|---|
| Contractor | Taxonomy 171W00000X · Licence 0262061 (NY) |
Record details
| NPI number | 1447383518 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | August 2, 2022 |
| Certification date | July 19, 2022 |
| Mailing address | 50 Gold Star Blvd, Worcester, MA 01606-2812 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Reliant Medical Group Inc — 638 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Worcester
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Antiwone Carr
2 Monica Rd, Worcester, MA 01602-4110 · (860) 331-9034
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Catherine Gallagher
255 Park Ave Ste 1000, Worcester, MA 01609-1953 · (508) 735-1392
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Mr. Bernard Ruiru Njehia
20 Svea St Apt 4H, Worcester, MA 01607-1171 · (508) 762-6083
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Iris N Simongkhoun
100 Frnt ST Ste 401, Worcester, MA 01608-1455 · (774) 364-0607