MEDICARE: BOBBY GEEVARUGHESE PHYSICAL THERAPY, PLLC

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	:	1477307007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOBBY GEEVARUGHESE PHYSICAL THERAPY, PLLC

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	:	914-202-7022
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BOBBY GEEVARUGHESE
Credential	:
Telephone Number	:	914-202-7022

Provider Enumeration Date	:	04/11/2024
Last Update Date	:	07/18/2025

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