Shoba Koshy Mammen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020290-1 Issued in NY

Practice address

99 Dutch Hill Rd
Orangeburg, NY 10962-2106

Phone

(845) 398-2800

Fax

(845) 398-2818

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ospre PT, PCGroup PAC ID 5991974024, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ospre PT, PC

  • Physical Therapist
  • New City, NY
  • NPI 1831498245
  Medicare reassignment Care Compare group NPD
• Stern at Home Physical Therapy PC

  dba Stern At Home Therapy

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380
  Medicare reassignment
• Flowing Physical Therapy PLLC

  • Physical Therapist
  • Monsey, NY
  • NPI 1437561065
  NPD (past)
• Rockland Orthopedics and Sports Medicine PC

  • Specialist
  • Airmont, NY
  • NPI 1346257979
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1831119775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PASCACK RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109546514",
            "telephone_number": "845-627-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DUTCH HILL RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622106",
            "telephone_number": "845-398-2800",
            "fax_number": "845-398-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMEN",
        "first_name": "SHOBA",
        "middle_name": "KOSHY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020290-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luma Adult Day Care
• Vallerie Luxama
• Mac Wound Solutions LLC
• Igor Malinovsky, PSY.D.
• Allison Maloney, BSN
• Anu Anto Manalil
• Lourdes C. Mandac, M.D.
• Deborah Ann Mannion, LCSW
• Mano R Zachariah MD
• Riccardi Marcelin, RN

• Physical Therapist in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.