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

Individual provider Physical Therapist · NPI 1326249103

Sudhakaran Jegadeesh, PT, MBA is a Physical Therapist in Private Practice in Southfield, Michigan. Qualified in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
37
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

17418 W 10 Mile Rd
Southfield, MI 48075-2951
Phone: (248) 552-1012
Fax: (248) 552-0657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 5501007156 (MI)
Physical Therapist Taxonomy 225100000X · Licence 5501007156 (MI)

Record details

NPI number1326249103
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MBA
Sole proprietorYes
NPI enumeratedMay 30, 2007
Last updated in NPPESOctober 7, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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