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

Pradeep Edupuganti, PT

Individual provider Physical Therapist · NPI 1659692606

Pradeep Edupuganti, PT is a Physical Therapist in Private Practice in Santa Teresa, New Mexico. Qualified in 2008, 18 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico and Texas.

Years since qualifying
18
Licensed in
NM, TX
In the registry since
2010
Specialties on file
2
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

5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210
Phone: (575) 915-1338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6420 Escondido Dr, El Paso, TX 79912-2977 — (915) 300-1330

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5025 (NM)
Physical Therapist Taxonomy 225100000X · Licence 1196020 (TX)

Record details

NPI number1659692606
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Teresa