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

Raj Devalla, PT

Individual provider Physical Therapist · NPI 1417362930

Raj Devalla, PT is a Physical Therapist in Private Practice in Yaphank, New York. Qualified in 2005, 21 years ago. Practices with Therapy House Calls PT PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2014
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

35 Bergers Ct E
Yaphank, NY 11980-1518
Phone: (631) 891-9936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 036620 (NY)

Record details

NPI number1417362930
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022
Mailing address35 Bergers Ct E, Yaphank, NY 11980-1518

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Therapy House Calls Pt Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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