Active NPI
Bertha Naomi Prahoveanu, DPT
- Physical Therapist
- Dowagiac, MI
National Provider Identifier
1467956482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017484
- Practice address
- 420 W High St
Dowagiac, MI 49047-1996 - Phone
- (269) 783-3041
- Fax
- (269) 783-3019
- NPI assigned
- Mar 23, 2018
- Last updated
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501017484 | MI | Primary |
Addresses
Primary practice location
420 W High St
Dowagiac, MI 49047-1996
Mailing address
420 W High St
Dowagiac, MI 49047-1996
Phone (269) 783-3041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501017484 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1467956482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W HIGH ST",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471996",
"telephone_number": "269-783-3041",
"fax_number": "269-783-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W HIGH ST",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471996",
"telephone_number": "269-783-3041",
"fax_number": "269-783-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAHOVEANU",
"first_name": "BERTHA",
"middle_name": "NAOMI",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dowagiac, MI
- Jitendrakumar Patel
- Nadzieja Nicole Pocheki, FNP-BC
- Pokagon Band of Potawatomi Indians (Pokagon Health Services)
- Pokagon Band of Potawatomi Indians (Pokagon Health Service)
- Pokagon Band of Potawatomi Indians (Pokagon Band Health Services Pharmacy)
- Prevos Family Markets LLC (Family Fare Pharmacy #1975)
- Ram Drugs LLC
- Mohammed Amjad Ranginwala, M.D
- Davin Vincenzo Renda, DDS
- Karlee Rife
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.