| Mr Ravindra Babu Bhogadula, MSPT | |
|
2528 Bypass Rd, Elkhart, IN 46514-1528 | |
| (203) 285-4817 | |
| Not Available |
| Full Name | Mr Ravindra Babu Bhogadula |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2528 Bypass Rd, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487870598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 028554-1 (New York) | Secondary |
| 225100000X | Physical Therapist | 05009178A (Indiana) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174275283 PECOS PAC ID: 2365359932 Enrollment ID: O20110708000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ravindra Babu Bhogadula, MSPT 50976 Sharpstone Ct, Granger, IN 46530-6848 Ph: (203) 285-4817 | Mr Ravindra Babu Bhogadula, MSPT 2528 Bypass Rd, Elkhart, IN 46514-1528 Ph: (203) 285-4817 |
Mrs. Jennifer Karasek, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Johnson St Ste B, Elkhart, IN 46514 Phone: 574-206-1581 Fax: 574-206-8348 | |
Mr. Sunderaj Rajkumar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2222 W. Lexington, Suite B, Elkhart, IN 46514 Phone: 574-522-2242 Fax: 574-522-2527 | |
Jessica Kase, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2310 California Rd, Elkhart, IN 46514 Phone: 574-264-0791 Fax: 574-262-9650 | |
Freedom Physical Therapy And Wellness Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 217 County Road 17, Elkhart, IN 46516 Phone: 317-762-0194 | |
Marie Diane Slough, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1628 W Beardsley Ave, Elkhart, IN 46514 Phone: 574-293-9420 Fax: 574-295-8141 | |
Deanna Scherpereel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Suite A, Elkhart, IN 46514 Phone: 574-264-0791 Fax: 574-262-9650 | |
Tamra Kay Taylor, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1628 W Beardsley Ave, Elkhart, IN 46514 Phone: 574-293-9420 Fax: 574-295-8141 |