David Mangine

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0001243 Issued in CO

Practice address

7869 Brockway Dr
Boulder, CO 80303-4828

Phone

(303) 888-2819

NPI assigned

Jan 20, 2015

Sex

Male

Sole proprietor

Yes

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

Enrolled in CO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kind Rehabilitation LLCGroup PAC ID 9739421967, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kind Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Superior, CO
  • NPI 1477016350
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1033508668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7869 BROCKWAY DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7869 BROCKWAY DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034828",
            "telephone_number": "303-888-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGINE",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0001243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Mandel Sheets, RN
• Sunanda Mane
• Marinela Maneiro-Goodwin
• Erin Mang, DPT
• Mary Mangelsen
• Christine Mangum, LPC
• Samantha K Mangum
• Andrea Lorene Mann, M.A. CCC
• Jennah Mann, MD
• Samantha Mann, PSY.D.

• Occupational Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.