MEDICARE: ALEXIS SANTHOSH ARANGAMPARAMBIL 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	13140	SC

General Provider Information

NPI Number	:	1962379651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS SANTHOSH ARANGAMPARAMBIL DPT

Provider Business Mailing Address
First Line	:	PO BOX 6069
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29171-6069
Country	:	US
Telephone Number	:	803-791-2491
Fax Number	:	803-794-5960

Provider Business Practice Location Address
First Line	:	7033 SAINT ANDREWS RD STE 203
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-1181
Country	:	US
Telephone Number	:	803-749-6759
Fax Number	:	803-791-2713

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

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	03/18/2026

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