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

Surya Nallamala

Individual provider Physical Therapist · NPI 1407467582

Surya Nallamala is a Physical Therapist in Private Practice in Iuka, Mississippi. Qualified in 2004, 22 years ago. Practices with Fyzio Group LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
22
Licensed in
MS
In the registry since
2020
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Practice location Address checks out

1670 Whitehouse Rd
Iuka, MS 38852-9013
Phone: (601) 605-6777
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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 PT5668 (MS)

Record details

NPI number1407467582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2020
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020
Mailing address711 Avignon Dr, Ridgeland, MS 39157-5120

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Fyzio Group Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Iuka