| Shoba Koshy Mammen, PT | |
|
99 Dutch Hill Rd, Orangeburg, NY 10962-2106 | |
| (845) 398-2800 | |
| (845) 398-2818 |
| Full Name | Shoba Koshy Mammen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 99 Dutch Hill Rd, Orangeburg, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831119775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 020290-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ospre Pt, Pc | 5991974024 | 2 |
| Provider Name | Ospre Pt, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831498245 PECOS PAC ID: 5991974024 Enrollment ID: O20110808000200 |
| Provider Name | Stern At Home Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1720563380 PECOS PAC ID: 6002152147 Enrollment ID: O20190204002117 |
| Mailing Address | Practice Location Address |
|---|---|
| Shoba Koshy Mammen, PT 300 S Pascack Rd, Nanuet, NY 10954-6514 Ph: (845) 627-3505 | Shoba Koshy Mammen, PT 99 Dutch Hill Rd, Orangeburg, NY 10962-2106 Ph: (845) 398-2800 |
Karen Victoria, Physical Therapist Medicare: Medicare Enrolled Practice Location: 450 Western Hwy Ste A, Orangeburg, NY 10962 Phone: 845-596-8713 | |
Elizabeth Cabrera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Old Orangeburg Rd, Orangeburg, NY 10962 Phone: 845-680-8500 | |
Susan Patricia Flanagan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Dutch Hill Rd, Orangeburg, NY 10962 Phone: 845-398-2800 Fax: 845-398-2818 | |
Nicholas Caropino, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 Old Orangeburg Rd, Orangeburg, NY 10962 Phone: 646-873-5779 | |
Laura Murphy Smith, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 99 Dutch Hill Rd, Orangeburg, NY 10962 Phone: 845-580-4100 | |
Mr. Ranjith Thomas Kuruvilla, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Dutch Hill Rd, Orangeburg, NY 10962 Phone: 845-398-2800 Fax: 845-398-2818 | |
Laurence Joseph Piretra Iii, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 99 Dutch Hill Rd, Orangeburg, NY 10962 Phone: 845-580-4100 |