John Padura, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011179 Issued in MI

Practice address

2300 Watkins Lake Rd
Waterford, MI 48328-1439

Phone

(248) 618-6362

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760691679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 ROMAN CT",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922185",
            "telephone_number": "586-202-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WATKINS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281439",
            "telephone_number": "248-618-6362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Washington Ave",
            "address_2": "Suite 055",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492012180",
            "country_code": "US",
            "telephone_number": "800-664-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADURA",
        "first_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "5501011179",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Kamal Osman, PTA
• Emily Otten
• Peggy Otterstetter, FNP
• Jeanette Elaine Owens, MA, LLPC
• Rodolfo Anthony Pacheco, LLMSW
• Grace Marie Pagaduan-Oddo, D.O.
• Lisa Ann Page
• Courtney Elizabeth Paladino
• Jill Denise Palazzo, M.A.CCC/SLP
• Zachary Palmer

• Physical Therapist in Waterford, MI
• Providers in Waterford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.