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

Praveen Kumar Boddu

Individual provider Physical Therapist · NPI 1891490868

Praveen Kumar Boddu is a Physical Therapist in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

1 Civic Center Plz Ste 107
Poughkeepsie, NY 12601-3158
Phone: (713) 452-9941
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 045821 (NY)

Record details

NPI number1891490868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 31, 2023
Last updated in NPPESMarch 31, 2023
Certification dateMarch 28, 2023
Mailing address1 Civic Center Plz Ste 107, Poughkeepsie, NY 12601-3158

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