MRS. SHANTI MUDUMBA PT
NPI 1235238031
Physical Therapist in Rockville Centre, NY

Active since September 21, 2006Accepts Medicare Assignment
509 MERRICK RD, ROCKVILLE CENTRE, NY 11570(516) 442-1055(516) 442-1056 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Shanti Mudumba Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANTI MUDUMBA PT (NPI 1235238031) is an individual physical therapist in Rockville Centre, New York, licensed in New York (022753-1) and active in the NPI registry since September 2006. She maintains 4 additional practice locations and is a graduate of Other (1998).

NPPES Registry Identity

NPI1235238031
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. SHANTI MUDUMBACredential: PT
Location Address509 MERRICK RDRockville Centre, NY 11570-5436
Mailing Address509 Merrick RdRockville Centre, NY 11570-5436 · (516) 442-1055 · Fax (516) 442-1056
Fax(516) 442-1056
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1235238031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 022753-1
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
509 MERRICK RD, Rockville Centre, NY 11570

Secondary Practice Locations 4

Location 1354 Fort Washington AveNew York, NY 10033-6834 · Phone (646) 869-0599 · Fax (212) 304-4308
Location 2520 W 218th StNew York, NY 10034-1020 · Phone (212) 304-1755 · Fax (212) 304-4308
Location 34211 Broadway Ste 24BNew York, NY 10033-3782 · Phone (646) 707-0469 · Fax (212) 304-4308
Location 450 Court St Ste 508ABrooklyn, NY 11201-4848 · Phone (718) 596-7050 · Fax (718) 596-7051

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shanti Mudumba Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123082872
PECOS Enrollment IDI20041112001037

Medicare Billing Reassignments

2

Medicare enrollment records show Shanti Mudumba reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
509 MERRICK RD
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
Massage Therapist
509 MERRICK RD
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,327 services50 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
956 services50 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
509 MERRICK RD
ROCKVILLE CENTRE, NY 11570
Physical Therapist
509 MERRICK RD
ROCKVILLE CENTRE, NY 11570
Physical Therapist
509 MERRICK RD
ROCKVILLE CENTRE, NY 11570
Physical Therapist
509 MERRICK RD
ROCKVILLE CENTRE, NY 11570
Physical Therapist
509 MERRICK RD
ROCKVILLE CENTRE, NY 11570
Massage Therapist
509 MERRICK RD
ROCKVILLE CENTRE, NY 11570
Acupuncturist
509 MERRICK RD
ROCKVILLE CENTRE, NY 11570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanti Mudumba's NPI number?

The NPI number for Shanti Mudumba is 1235238031. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Shanti Mudumba located?

Shanti Mudumba practices at 509 Merrick Rd, Rockville Centre, NY 11570. The listed phone number is (516) 442-1055.

What is Shanti Mudumba's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Shanti Mudumba enrolled in Medicare?

Yes. Shanti Mudumba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shanti Mudumba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanti Mudumba reassigns Medicare benefits to 2 organizations: Lakshmi Pt Consultants PC (Rockville Centre, NY) and Lakshmi Pt Ot Slp Massage Consultants PLLC (Rockville Centre, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shanti Mudumba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shanti Mudumba was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.