Provider Demographics
NPI:1497943187
Name:HIREMAGALUR RANGANATHAN, SANTHOSHINI (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:SANTHOSHINI
Middle Name:
Last Name:HIREMAGALUR RANGANATHAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 POST RD STE 201
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-3614
Mailing Address - Country:US
Mailing Address - Phone:203-655-6464
Mailing Address - Fax:203-655-2859
Practice Address - Street 1:455 POST RD STE 201
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-3614
Practice Address - Country:US
Practice Address - Phone:203-655-6464
Practice Address - Fax:203-655-2859
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018692225100000X, 2251X0800X
CT008261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400000215Medicare PIN