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LAKSHMI KALYANI GUDAVALLI PT
NPI 1063814309
Physical Therapist - Orthopedic in Galesburg, IL

Active since September 18, 2014Accepts Medicare Assignment
275 E CARL SANDBURG DRIVE, MARIGOLD REHABILITATION, GALESBURG, IL 61401(309) 344-1151 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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

NPI1063814309
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameLAKSHMI KALYANI GUDAVALLICredential: PT
Location Address275 E CARL SANDBURG DRIVE, MARIGOLD REHABILITATIONGalesburg, IL 61401
Mailing Address2834 Villa CtBettendorf, IA 52722-7554 · (563) 639-2486
Phone(309) 344-1151
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 18, 2014
✔ NPI 1063814309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in IL · 070020357
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
275 E CARL SANDBURG DRIVE, Galesburg, IL 61401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2961929351
PECOS Enrollment IDI20250508002963

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.

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 11 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.