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

Dr. Jesudian Boddu, DPT

Individual provider Physical Therapist · NPI 1831315712

Dr. Jesudian Boddu, DPT is a Physical Therapist in Portland, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1447 E Grand River Ave
Portland, MI 48875-1631
Phone: (517) 647-1000
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501013128 (MI)

Record details

NPI number1831315712
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESJuly 8, 2007

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