# ISLAND MOBILITY PHYSICAL THERAPY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194432773
- **Authorized official:** JITHENDRA KUMAR ATTILURU (PHYSICAL THERAPIST)
- **Authorized official phone:** (732) 692-4141

## Contact information

- **Practice address:** 656 PECONIC ST, RONKONKOMA, NY 11779-6345
- **Practice address phone:** (732) 692-4141
- **Mailing address:** 656 PECONIC ST, RONKONKOMA, NY 11779-6345
- **Mailing address phone:** (732) 692-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 09/30/2026