MEDICARE: LAKSHMI ARUMUGAM MS, PT, 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	P11692	NC
2	2251P0200X	Pediatric Physical Therapist	023786	NY
3	225100000X	Physical Therapist	24058	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356371116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKSHMI ARUMUGAM MS, PT, DPT

Provider Business Mailing Address
First Line	:	1820 AVENUE M # 441
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5347
Country	:	US
Telephone Number	:	443-364-8352
Fax Number	:

Provider Business Practice Location Address
First Line	:	8335 AUTUMN RIVER DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-7529
Country	:	US
Telephone Number	:	718-440-0956
Fax Number	:

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/08/2024

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