Krystina Mantzouranis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2685 Leeds Ave
North Charleston, SC 29405-6861

Phone

(843) 529-3130

NPI assigned

Feb 1, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caps International Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Coral Gables, FL
  • NPI 1427584879
  NPD (past)
• Caps International Inc.

  • Clinic/Center
  • Coral Gables, FL
  • NPI 1912703737
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1003274481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 NANTAHALA BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649753",
            "telephone_number": "757-642-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 LEEDS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294056861",
            "telephone_number": "843-529-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Bonds Ave",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294057529",
            "country_code": "US",
            "telephone_number": "843-747-6609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTZOURANIS",
        "first_name": "KRYSTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mavis Manigault
• Victoria Manigault, CPNP
• Brandi L. Mann, DPT
• David C Mann, MD
• Mary Leen Mansfield, PT, DPT
• Jeremy Manuel
• Chad Mapes, MSPT
• Joshua Marcengill
• Christina Marcus
• Sarah Maresca, PT, DPT

• Speech-Language Pathologist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.