Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOMON M EDAKARA
ActiveMR. JOMON M EDAKARA is a Physical Therapy Assistant healthcare provider located in DEERFIELD, Illinois. NPI 1609094630 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DEERFIELD, IL
Registration Details
- NPI Number
- 1609094630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2007 (19.277653824473 yrs)
- Last Updated
- Aug 13, 2024
- License
-
05008369A (IN)
Practice Information
- Address
-
1551 LAKE COOK RDDEERFIELD, IL, 600155651Browse IL providers · Browse ZIP 60015
- Phone
- 8473740500
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DEERFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| JERZY DORMAN | P.T. | 1760433106 |
| ROBERT SOLES | — | 1225107972 |
| ELYSE KUSHNER | MSPT | 1922142363 |
| DR. SANDRA J LEVI | P.T. | 1154545929 |
| ALEX M BENDERSKY | PT | 1336365923 |
| PAUL KIM | MPT | 1043468887 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.