RUPA BALARAMAN MPT
NPI 1083002554
Physical Therapist in Edison, NJ

Active since January 06, 2015Accepts Medicare Assignment
94.35/100
CMS Quality Rating
4 ETHEL RD, SUITE 403B, EDISON, NJ 08817(732) 429-1955(732) 549-5549 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rupa Balaraman Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUPA BALARAMAN MPT (NPI 1083002554) is an individual physical therapist in Edison, New Jersey, licensed in Maryland (MD25363) and active in the NPI registry since January 2015. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1083002554
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameRUPA BALARAMANCredential: MPT
Location Address4 ETHEL RD, SUITE 403BEdison, NJ 08817
Mailing Address5925 Logans Way, Unit 2Ellicott City, MD 21043-7514 · (443) 204-4825
Fax(732) 549-5549
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 6, 2015
Last NPPES UpdateMay 16, 2018
NPI 1083002554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in MD · MD25363 Licensed in DC · PT871518
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

4 ETHEL RD, Edison, NJ 08817

Other Identifiers 1

OtherPT871518MD · Pt License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rupa Balaraman Mpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880928159
PECOS Enrollment IDI20190620002882, I20260212002033

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
720 services55 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
709 services55 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
594 services52 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
336 services46 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
30 services29 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
27 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.36
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
4 ETHEL RD, SUITE 406B
EDISON, NJ 08817
Specialist
4 ETHEL RD, SUITE 405A
EDISON, NJ 08817
Specialist
4 ETHEL RD, SUITE 405A
EDISON, NJ 08817
Specialist
4 ETHEL RD, SUITE 405A
EDISON, NJ 08817
Internal Medicine
4 ETHEL RD, SUITE 406B
EDISON, NJ 08817
Internal Medicine (Cardiovascular Disease)
4 ETHEL RD, SUITE 406A
EDISON, NJ 08817
Specialist/Technologist Cardiovascular
4 ETHEL RD, SUITE 406A
EDISON, NJ 08817
Dentist (General Practice)
4 ETHEL RD, SUITE 401B
EDISON, NJ 08817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rupa Balaraman's NPI number?

The NPI number for Rupa Balaraman is 1083002554. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Where is Rupa Balaraman located?

Rupa Balaraman practices at 4 Ethel Rd Suite 403B, Edison, NJ 08817. The listed phone number is (732) 429-1955.

What is Rupa Balaraman's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Rupa Balaraman enrolled in Medicare?

Yes. Rupa Balaraman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rupa Balaraman was last updated on May 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.