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PRATYUSHA NISTALA PT
NPI 1902307184
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in New York, NY

Active since February 23, 2018
227 W 29TH ST RM 3R, NEW YORK, NY 10001(212) 736-8900(212) 736-8158 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Feb 23, 2018 (2 updates tracked since 2018).

About Pratyusha Nistala Pt NPPES

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

PRATYUSHA NISTALA PT (NPI 1902307184) is an individual pediatric rehabilitation medicine provider in New York, New York, licensed in New York (040300-1) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1902307184
Entity TypeIndividualFemale
Primary Taxonomy2081P0010X
Provider Legal NamePRATYUSHA NISTALACredential: PT
Location Address227 W 29TH ST RM 3RNew York, NY 10001-5574
Mailing Address227 W 29th St Rm 3rNew York, NY 10001-5574 · (212) 736-8900 · Fax (212) 736-8158
Phone(212) 736-8900
Fax(212) 736-8158
Sole ProprietorNo
Enumeration DateFebruary 23, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1902307184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in NY · 040300-1
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
227 W 29TH ST RM 3R, New York, NY 10001
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Other Identifiers 1

OtherZ2459030Passport

Other Providers at the Same Location NPPES

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

BHAGYASHREE KALLEY
Physical Therapist (Pediatrics)
227 W 29TH ST RM 3R
NEW YORK, NY 10001
New York County (212) 736-8900

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 Pratyusha Nistala's NPI number?

The NPI number for Pratyusha Nistala is 1902307184. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Where is Pratyusha Nistala located?

Pratyusha Nistala practices at 227 W 29th St Rm 3R, New York, NY 10001. The listed phone number is (212) 736-8900.

What is Pratyusha Nistala's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

When was this NPI record last updated?

The NPPES record for Pratyusha Nistala was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.