MR. SANJAY REDDY (PT) – Physical Therapist, NPI 1801864384

MR. SANJAY REDDY (PT) is a healthcare provider. based in Riverdale, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070013765 (IL). The NPI Number for MR. SANJAY REDDY (PT) is 1801864384

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. SANJAY REDDY (PT)
NPI
1801864384
Phone
(312) 339-8339
Address
233 MEDICAL CENTER DR
Enumeration Date
9 March 2006
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604096383
Graduation Year
2002 (24 years ago)
PAC ID
1456351162
Group Practice PAC ID
6709195316
Professional Enrollment ID
I20170424001580
Address ID
CA922347921CA69472RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MR. SANJAY REDDY (PT)

  • 233 MEDICAL CENTER DR

    RIVERDALE, GA 302742640

    Phone: (312) 339-8339

    Fax: (205) 874-8333

    Type: Location

  • 72780 El Paseo Ste E4

    Palm Desert, CA 922603391

    Phone: (312) 339-8339

    Type: Location

  • 46900 Monroe St Ste 304

    Indio, CA 922014829

    Phone: (760) 289-3010

    Fax: (909) 890-4393

    Type: Location

  • 233 Medical Center Dr

    Riverdale, GA 302742640

    Phone: (312) 339-8339

    Fax: (205) 874-8333

    Type: Location

  • 48240 BIRDIE WAY

    PALM DESERT, CA 922606671

    Phone: (312) 339-8339

    Type: Mailing

  • 3700 E TACHEVAH DR STE 107

    PALM SPRINGS, CA 922627402

    Phone: (760) 459-0003

    Fax: (909) 890-4393

    Type: Location

  • 72780 EL PASEO STE E4

    PALM DESERT, CA 922603391

    Phone: (312) 339-8339

    Type: Location

  • 123, Roadrunner, Turtle Ridge, Irvine, Orange County, California, 92603, United States

    IRVINE, CA 926030161

    Phone: (312) 339-8339

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170424001580IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30274)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709195316View full group profile
NameSpecialtyState
-CA
-GA
-MN
Physical Therapist In Private PracticeKY
-CA
Occupational Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Qualified Speech Language PathologistCA

Reviews

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Frequently asked questions

How is MR. SANJAY REDDY (PT) identified in CMS data?
CMS-hosted NPPES data lists MR. SANJAY REDDY (PT) with NPI 1801864384.
Does the file indicate MR. SANJAY REDDY (PT) is practicing under active NPI?
Directory data currently reports MR. SANJAY REDDY (PT) as active.
What taxonomy line describes MR. SANJAY REDDY (PT)?
For research purposes, treat MR. SANJAY REDDY (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. SANJAY REDDY (PT) on a map?
Expect Riverdale, Georgia as a primary anchor for MR. SANJAY REDDY (PT) unless the record lists multiple sites.
Why does MR. SANJAY REDDY (PT) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.