{"npi":"1578049615","type":"NPI-1","status":"active","name":{"display":"Supriya Ravuru","other":[],"first":"SUPRIYA","last":"RAVURU"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"VA","license":"2305208320"}]},"addresses":[{"purpose":"LOCATION","street_1":"12475 LEE JACKSON MEMORIAL HWY","city":"FAIRFAX","state":"VA","postal_code":"220332803","country_code":"US","phone":"7033527172"},{"purpose":"MAILING","street_1":"22683 BEACON CREST TER","city":"BRAMBLETON","state":"VA","postal_code":"201486427","country_code":"US","phone":"5162799939"}],"license":{"state":"VA","number":"2305208320"},"identifiers":[{"type_code":"01","label":"Other","value":"B69665178","state":"VA","issuer":"DRIVERS LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230911002548","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"DC","pac_id":"9638533896"}]},"enumeration_date":"2018-07-12","last_updated":"2018-07-12","_meta":{"source":"NPPES","snapshot_date":"2018-07-12","doc_url":"https://findmynpi.com/api"}}