Individual provider · Type 1 NPI

Pratyusha Nistala, PT

Pediatric Rehabilitation Medicine Physician · New York, NY

NPI number 1902307184 Active

Practice location

227 W 29th St Rm 3R
New York, NY 10001-5574

Fax (212) 736-8158

Specialties and licenses

TaxonomyCodeLicense
Pediatric Rehabilitation Medicine Physician Primary 2081P0010X040300-1 (NY)

Pediatric Rehabilitation Medicine Physician: 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 capabi…

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About NPI 1902307184

Pratyusha Nistala, PT's National Provider Identifier is 1902307184, issued on Feb 23, 2018. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in New York, NY. The record was last updated on Jun 16, 2018.