MEDICARE: ROSEY POUDEL

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	225100000X	Physical Therapist	1346221	TX
2	225100000X	Physical Therapist	045583	NY

General Provider Information

NPI Number	:	1821753203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEY POUDEL

Provider Business Mailing Address
First Line	:	850 GREENSIDE DR APT 2222
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-1261
Country	:	US
Telephone Number	:	479-367-5202
Fax Number	:

Provider Business Practice Location Address
First Line	:	7217 TELECOM PKWY FL 2
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2202
Country	:	US
Telephone Number	:	972-495-6986
Fax Number	:

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

Provider Enumeration Date	:	11/01/2021
Last Update Date	:	07/01/2026

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Directions to “ ROSEY POUDEL ” Practice Location

Language	Start Address	Practice Location

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