Prasanna Kommu
Physical Therapist in Revere, Massachusetts
1861998734- Practice location
- 185 Squire RD, Revere, MA 02151-1234
- Phone
- 781-284-0559
- Fax
- —
- Last updated
- August 14, 2025
Prasanna Kommu is a Physical Therapist based in Revere, MA. Prasanna Kommu practices in Revere, MA. The NPI Number for Prasanna Kommu is 1861998734 and holds a License No. 2305212542 (VA). The current practice location address for Prasanna Kommu is 185 Squire RD, Revere, MA 02151-1234 and can be reached out via phone at 781-284-0559.
Provider Profile Details
- NPI Number
- 1861998734
- Provider Name
- Prasanna Kommu
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 185 Squire RD, Revere, MA 02151-1234
- Phone Number
- 781-284-0559
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 1, 2018
- Last Update Date
- August 14, 2025
- Certification Date
- August 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 185 Squire RD
Revere, MA 02151-1234 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-1234
- Phone Number
- 781-284-0559
Provider Business Mailing Address Details
- Address
- 30 Parkside Pl
Malden, MA 02148-7869 - City
- Malden
- State
- MA
- Zip
- 02148-7869
License Information
- License Number
- 2305212542
- License State
- VA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Prasanna Kommu?
The NPI number of Prasanna Kommu is 1861998734. It was assigned on April 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Prasanna Kommu?
Prasanna Kommu is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in VA under license number 2305212542.
Where does Prasanna Kommu practice?
The practice location is 185 Squire RD, Revere, MA 02151-1234. The office can be reached at 781-284-0559 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861998734 directly on the NPPES registry website.