Provider Demographics
NPI:1356371116
Name:ARUMUGAM, LAKSHMI (MS, PT, DPT)
Entity type:Individual
Prefix:
First Name:LAKSHMI
Middle Name:
Last Name:ARUMUGAM
Suffix:
Gender:F
Credentials:MS, PT, DPT
Other - Prefix:
Other - First Name:LAKSHMI
Other - Middle Name:
Other - Last Name:ARUMUGAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1820 AVENUE M # 441
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5347
Mailing Address - Country:US
Mailing Address - Phone:443-364-8352
Mailing Address - Fax:
Practice Address - Street 1:8335 AUTUMN RIVER DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-7529
Practice Address - Country:US
Practice Address - Phone:718-440-0956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP11692225100000X
NY0237862251P0200X
MD24058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7212450Medicaid