Natasha K Mannel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA27353 Issued in FL

Practice address

1045 Riverside Ave Ste 190
Jacksonville, FL 32204-4189

Phone

(904) 647-4284

NPI assigned

Oct 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1013516285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45136 FOURTH AVE",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320113805",
            "telephone_number": "308-672-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 RIVERSIDE AVE STE 190",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044189",
            "telephone_number": "904-647-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNEL",
        "first_name": "NATASHA",
        "middle_name": "K",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin D Mann, M.D.
• Kimberly Ellen Mann, PT
• Nyoka Mann
• Weston Dean Mann, APRN
• Aboo T Mannan, DO
• Narmada Mannem, M.B.B.S.
• Anje Manning, LMT
• April Manning, RMHCI
• Helen Manning, LMHC
• Joshua Robert Manning, RPH

• Physical Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.