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

Jonathon David Bodam, PT

Individual provider Physical Therapist · NPI 1811416233

Jonathon David Bodam, PT is a Physical Therapist in Private Practice in Chandler, Arizona. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
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

1076 W Chandler Blvd
Chandler, AZ 85224-5225
Phone: (480) 821-1997
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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 13270 (AZ)

Record details

NPI number1811416233
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESOctober 3, 2017
Mailing address1076 W Chandler Blvd, Ste 103, Chandler, AZ 85224-5223

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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