MRS. KAVYA REDDY PUNURU (DPT) – Physical Therapist, NPI 1649619081

MRS. KAVYA REDDY PUNURU (DPT) is a healthcare provider. based in Herndon, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2305206664 (VA). The NPI Number for MRS. KAVYA REDDY PUNURU (DPT) is 1649619081

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KAVYA REDDY PUNURU (DPT)
NPI
1649619081
Phone
(909) 991-7755
Address
13390 SPOFFORD RD APT 103
Enumeration Date
19 June 2013
Last Update Date
14 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6192039674
Graduation Year
2023 (3 years ago)
PAC ID
4981047180
Group Practice PAC ID
3072956275
Professional Enrollment ID
I20240226002080
Address ID
VA20152XXXXCHXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for MRS. KAVYA REDDY PUNURU (DPT)

  • 13390 SPOFFORD RD APT 103

    HERNDON, VA 201714555

    Phone: (909) 991-7755

    Type: Mailing

  • 25017 WHITE SANDS DR

    CHANTILLY, VA 201524153

    Phone:

    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: 2024-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240226002080IPhysical Therapist In Private PracticeVATBD
I20240430001313IPhysical Therapist In Private PracticeDCTBD

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 20171)

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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: 3072956275View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Occupational Therapist In Private PracticeDE
Occupational Therapist In Private PracticeVA
Occupational Therapist In Private PracticeDC

Reviews

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Frequently asked questions

What identifier follows MRS. KAVYA REDDY PUNURU (DPT) across health systems?
The NPI 1649619081 uniquely identifies MRS. KAVYA REDDY PUNURU (DPT) in U.S. healthcare data.
Should I treat MRS. KAVYA REDDY PUNURU (DPT) as an active provider?
Patients and plans typically see MRS. KAVYA REDDY PUNURU (DPT) as active in the national extract.
How should patients interpret MRS. KAVYA REDDY PUNURU (DPT)'s specialty?
The extract shows Physical Therapist for MRS. KAVYA REDDY PUNURU (DPT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KAVYA REDDY PUNURU (DPT)?
MRS. KAVYA REDDY PUNURU (DPT) is associated with Herndon, Virginia in the same public data insurers reference.
Who maintains MRS. KAVYA REDDY PUNURU (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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