MEDICARE: BOBBY GEEVARUGHESE DPT

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

General Provider Information

NPI Number	:	1205519543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBY GEEVARUGHESE DPT

Provider Business Mailing Address
First Line	:	508 CENTRAL PARK AVE APT 5209
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-1050
Country	:	US
Telephone Number	:	845-536-7297
Fax Number	:

Provider Business Practice Location Address
First Line	:	508 CENTRAL PARK AVE APT 5209
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-1050
Country	:	US
Telephone Number	:	845-536-7297
Fax Number	:

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

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	12/20/2025

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