Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boaz Nyongesa Barasa

Individual provider Physical Therapy Assistant · NPI 1427698307

Boaz Nyongesa Barasa is a Physical Therapy Assistant in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020

Practice location Address checks out

17475 Dugdale Dr
South Bend, IN 46635-1545
Phone: (574) 247-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06005605A (IN)

Record details

NPI number1427698307
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 8, 2020
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020

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