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

Individual provider Physical Therapist · NPI 1104132877

Roxanne Renae Kudwa, MSPT is a Physical Therapist in Private Practice in Saint Johns, Michigan. Qualified in 1998, 28 years ago. Practices with Michigan Orthopedic Center P C, a 30-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2010
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Practice location Address checks out

1507 Waterford Pkwy
Saint Johns, MI 48879-9630
Phone: (989) 227-5404
Fax: (989) 227-5415
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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 5501009453 (MI)

Record details

NPI number1104132877
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedAugust 19, 2010
Last updated in NPPESAugust 19, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Michigan Orthopedic Center P C — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Johns