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

Shoba Koshy Mammen, PT

Individual provider Physical Therapist · NPI 1831119775

Shoba Koshy Mammen, PT is a Physical Therapist in Private Practice in Orangeburg, New York. Qualified in 1999, 27 years ago. Practices with Ospre PT, PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
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

99 Dutch Hill Rd
Orangeburg, NY 10962-2106
Phone: (845) 398-2800
Fax: (845) 398-2818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 020290-1 (NY)

Record details

NPI number1831119775
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESMay 30, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Ospre Pt, Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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