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

Jeevananthan Koodalingam, PT

Individual provider Physical Therapist · NPI 1487576104

Jeevananthan Koodalingam, PT is a Physical Therapist in Novi, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

28328 Clymer Dr
Novi, MI 48377-2588
Phone: (248) 763-9369
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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 5501008148 (MI)

Record details

NPI number1487576104
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address28328 Clymer Dr, Novi, MI 48377-2588

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