Organization Active NPI

Island Mobility Physical Therapy P.C.

  • Rehabilitation Hospital Unit
  • Ronkonkoma, NY
National Provider Identifier
1194432773
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
ISLAND MOBILITY PHYSICAL THERAPY P.C.
Practice address
656 Peconic St
Ronkonkoma, NY 11779-6345
Phone
(732) 692-4141
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jithendra Kumar AttiluruNPI 1043546153
Title
Physical Therapist
Phone
(732) 692-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

656 Peconic St
Ronkonkoma, NY 11779-6345

Mailing address

656 Peconic St
Ronkonkoma, NY 11779-6345
Phone (732) 692-4141

Other practice location 1

350 W Montauk Hwy
Lindenhurst, NY 11757-5630
Phone (631) 450-4799

Other practice location 2

475 E Main St Ste 206
Patchogue, NY 11772-3121
Phone (732) 692-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124001918 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486025749 Receives reassigned benefits from 1 practitioner
Practice locations: Lindenhurst, NY; Ronkonkoma, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1194432773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 PECONIC ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796345",
            "telephone_number": "732-692-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 PECONIC ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796345",
            "telephone_number": "732-692-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "Lindenhurst",
            "state": "NY",
            "postal_code": "117575630",
            "country_code": "US",
            "telephone_number": "631-450-4799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 E Main St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723121",
            "country_code": "US",
            "telephone_number": "732-692-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND MOBILITY PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "ATTILURU",
        "authorized_official_first_name": "JITHENDRA",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-692-4141"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.