Jaya Prakash Boddu in Portland - Physical Therapist
Jaya Prakash Boddu - NPI 1023235777
Jaya Prakash Boddu is a Physical Therapist in Portland, Michigan. Jaya Prakash Boddu practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jaya Prakash Boddu is 1023235777. The last update date is 2007-07-08.
Jaya Prakash Boddu's current location address is 1447 E Grand River Ave, Portland, Michigan. You can contact this provider via phone number 5176471000 and fax number 5176471100. The mailing address for Jaya Prakash Boddu is 1447 E Grand River Ave, Portland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaya Prakash Boddu |
|---|---|
| Address | 1447 E Grand River Ave, Portland, Michigan |
| Phone Number | 5176471000 |
| Fax Number | 5176471100 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1023235777 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1447 E Grand River Ave |
|---|---|
| City | Portland |
| State | Michigan (MI) |
| Post Code | 488759687 |
| Phone Number | 5176471000 |
| Fax Number | 5176471100 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5501005495 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique identifier code issued to Jaya Prakash Boddu by the Centers for Medicare & Medicaid Services?
The Jaya Prakash Boddu has been assigned the NPI (National Provider Identifier) 1023235777. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jaya Prakash Boddu is physically located?
The Jaya Prakash Boddu is situated at the following address: 1447 E Grand River Ave, Portland, MI 488759687.
What is Jaya Prakash Boddu's area of expertise and its corresponding taxonomy classification?
The Jaya Prakash Boddu's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jaya Prakash Boddu receive its 1023235777 assignment from the Centers for Medicare & Medicaid Services?
The Jaya Prakash Boddu was assigned its 1023235777 by the Centers for Medicare & Medicaid Services on 2007-04-20.
When was the Jaya Prakash Boddu's information last updated?
The Jaya Prakash Boddu's information was last updated on 2007-07-08.
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