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

Jayachandra Bommareddy

Individual provider Physical Therapist · NPI 1790289494

Jayachandra Bommareddy is a Physical Therapist in Private Practice in Clinton Township, Michigan. Qualified in 2013, 13 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

17001 17 Mile Rd
Clinton Township, MI 48038-2801
Phone: (586) 286-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501013421 (MI)

Record details

NPI number1790289494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2018
Last updated in NPPESMarch 19, 2018
Mailing address3198 Fantail Dr, Rochester Hills, MI 48309-4292

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton Township