MEDICARE: MADHUSHREE DONDE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251G0304X	Geriatric Physical Therapist	070022916	IL
2	2251S0007X	Sports Physical Therapist	P23393	NC

General Provider Information

NPI Number	:	1659041804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADHUSHREE DONDE PT

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4418 TELEGRAPH RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-3316
Country	:	US
Telephone Number	:	314-254-2754
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2021
Last Update Date	:	03/10/2026

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Directions to “ MADHUSHREE DONDE PT” Practice Location

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