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 |
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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 |
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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 | |
Atria Eastlake Terrace Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3109 E Bristol St, Elkhart, IN 46514 Phone: 574-266-4508 | |
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: Medicare Enrolled 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 |