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

Vijaya Vardhanrao Mullapudi Sr.

Individual provider Physical Therapist · NPI 1639722325

Vijaya Vardhanrao Mullapudi Sr. is a Physical Therapist in Far Rockaway, New York. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

829 Empire Ave
Far Rockaway, NY 11691-4856
Phone: (845) 596-1719
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 044212

Record details

NPI number1639722325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 22, 2019
Last updated in NPPESJuly 22, 2019

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