LAKSHMI KALYANI GUDAVALLI PT
NPI 1063814309
Physical Therapist - Orthopedic in Galesburg, IL
About Lakshmi Kalyani Gudavalli Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKSHMI KALYANI GUDAVALLI PT (NPI 1063814309) is an individual orthopedic provider in Galesburg, Illinois, licensed in Illinois (070020357) and active in the NPI registry since September 2014. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lakshmi Kalyani Gudavalli Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Lakshmi Gudavalli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45236
- Reassigned Medicare billing, Iowa enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lakshmi Gudavalli's NPI number?
The NPI number for Lakshmi Gudavalli is 1063814309. It was assigned to this individual provider in the NPPES registry on September 18, 2014.
Where is Lakshmi Gudavalli located?
Lakshmi Gudavalli practices at 275 E Carl Sandburg Drive Marigold Rehabilitation, Galesburg, IL 61401. The listed phone number is (309) 344-1151.
What is Lakshmi Gudavalli's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Lakshmi Gudavalli enrolled in Medicare?
Yes. Lakshmi Gudavalli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lakshmi Gudavalli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lakshmi Gudavalli reassigns Medicare benefits to Cortlyn Therapy, PC (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lakshmi Gudavalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lakshmi Gudavalli was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lakshmi Kalyani Gudavalli, PT · NPI 1063814309
Orthopedic provider in Galesburg, Illinois. Individual provider, active in the CMS NPPES registry since September 18, 2014.
## Identity
- **NPI:** 1063814309 (Entity type: Individual)
- **Enumerated:** September 18, 2014
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 070020357 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 275 E CARL SANDBURG DRIVE, MARIGOLD REHABILITATION, Galesburg, IL 61401
- **Phone:** (309) 344-1151
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Cortlyn Therapy, PC (NPI 1235725730, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 18, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1063814309) · Data from the CMS NPPES public registry.