Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shanti Mudumba, PT

Individual provider Physical Therapist · NPI 1235238031

Mrs. Shanti Mudumba, PT is a Physical Therapist in Private Practice in Rockville Centre, New York. Qualified in 1998, 28 years ago. Practices with Lakshmi PT Consultants PC, a 6-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

509 Merrick Rd
Rockville Centre, NY 11570-5436
Phone: (516) 442-1055
Fax: (516) 442-1056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 50 Court St Ste 508a, Brooklyn, NY 11201-4848 — (718) 596-7050
  • 4211 Broadway Ste 24b, New York, NY 10033-3782 — (646) 707-0469
  • 354 Fort Washington Ave, New York, NY 10033-6834 — (646) 869-0599
  • 520 W 218th St, New York, NY 10034-1020 — (212) 304-1755

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 022753-1 (NY)

Record details

NPI number1235238031
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Lakshmi Pt Consultants Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockville Centre