Mr Jaya Prakash Boddu, PT in Portland, MI

Mr Jaya Prakash Boddu, PT is a Physical Therapist based in Portland, Michigan. Mr Jaya Prakash Boddu is licensed to practice in Michigan (license number 5501005495) and his current practice location is 1447 E Grand River Ave, Health Source Physical Therapy Center,inc., Portland, Michigan. He can be reached at his office (for appointments etc.) via phone at (517) 647-1000.

NPI number for Mr Jaya Prakash Boddu is 1023235777 and his current mailing address is 1447 E Grand River Ave, Health Source Physical Therapy Center,inc., Portland, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023235777.

Contact Information

	Mr Jaya Prakash Boddu, PT
	1447 E Grand River Ave, Health Source Physical Therapy Center,inc., Portland, MI 48875-9687
	(517) 647-1000
	(517) 647-1100

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jaya Prakash Boddu
Gender	Male
Speciality	Physical Therapist
Location	1447 E Grand River Ave, Portland, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1023235777
Provider Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jaya Prakash Boddu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023235777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501005495 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jaya Prakash Boddu is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jaya Prakash Boddu, PT 1447 E Grand River Ave, Health Source Physical Therapy Center,inc., Portland, MI 48875-9687 Ph: (517) 647-1000	Mr Jaya Prakash Boddu, PT 1447 E Grand River Ave, Health Source Physical Therapy Center,inc., Portland, MI 48875-9687 Ph: (517) 647-1000

Reviews and Comments

Physical Therapist in Portland, MI

Erica Foresman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1447 E Grand River Ave, Portland, MI 48875 Phone: 517-647-1000
Samantha Leigh Newell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1447 E Grand River Ave, Portland, MI 48875 Phone: 517-647-1000
Dr. Jesudian Boddu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1447 E Grand River Ave, Portland, MI 48875 Phone: 517-647-1000

Mr Jaya Prakash Boddu, PT - Physical Therapist in Portland, MI