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

Raghavendra Kakkera

Individual provider Physical Therapist · NPI 1528604394

Raghavendra Kakkera is a Physical Therapist in Private Practice in Hicksville, New York. Qualified in 2009, 17 years ago. Practices with Esd PT OT and SLP PLLC, a 82-clinician group and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
17
Licensed in
MD, NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

24 Washington Ave
Hicksville, NY 11801-2121
Phone: (512) 650-7156
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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 29147 (MD)
Physical Therapist Taxonomy 225100000X · Licence 044289 (NY)

Record details

NPI number1528604394
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 26, 2019
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Esd Pt Ot And Slp Pllc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hicksville