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

Raghu Nallamothu, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1366606469

Raghu Nallamothu, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Muncie, Indiana. Qualified in 1999, 27 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
27
Licensed in
IN
In the registry since
2008
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Practice location Address checks out

4901 W Riverbend Dr
Muncie, IN 47304-4069
Phone: (765) 702-4298
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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 05008730A (IN)

Record details

NPI number1366606469
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedJuly 17, 2008
Last updated in NPPESJuly 17, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Muncie