Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANTI MUDUMBA, PT
ActivePhysical Therapy Assistant · ROCKVILLE CENTRE, NY
Registration Details
- NPI Number
- 1235238031
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2006 (19.625110746786 yrs)
- Last Updated
- Sep 22, 2025
- License
-
022753-1 (NY)
Practice Information
- Address
-
509 MERRICK RDROCKVILLE CENTRE, NY, 115705436Browse NY providers · Browse ZIP 11570
- Phone
- 5164421055
- Fax
- 5164421056
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ROCKVILLE CENTRE, NY
| Name | Credential | NPI |
|---|---|---|
| DORE SIEGELSON | PT | 1639154610 |
| ANTIGONE BOZIKIS | PT | 1457365934 |
| MELISSA ANNE SCHAUB | MA, PT | 1891805966 |
| MR. SARAT VADADA | PT | 1326147125 |
| SARA GROTE | PT | 1689761520 |
| MRS. MARISSA EVERS GORLESKY | PT | 1144306226 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.