Active NPI
Marsha A Eifert-Mangine, PT
- Physical Therapist
- Union, KY
National Provider Identifier
1023066800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1796
- Practice address
- 10587 Pimlico Park
Union, KY 41091-4904 - Phone
- (859) 859-5714
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4999 | OH | |
| Physical Therapist | 225100000X | PT1796 | KY | Primary |
Addresses
Primary practice location
10587 Pimlico Park
Union, KY 41091-4904
Mailing address
10587 Pimlico Park
Union, KY 41091-4904
Phone (859) 802-5714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1796 | KY | MD | Physical Therapist |
| PT4999 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1023066800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10587 PIMLICO PARK",
"city": "UNION",
"state": "KY",
"postal_code": "410914904",
"telephone_number": "859-802-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10587 PIMLICO PARK",
"city": "UNION",
"state": "KY",
"postal_code": "410914904",
"telephone_number": "859-859-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIFERT-MANGINE",
"first_name": "MARSHA",
"middle_name": "A",
"name_prefix": "Prof.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT4999",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT1796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.