Active NPI
Paul Joseph Mangiafico, PT, DPT
- Physical Therapist
- Rangeley, ME
National Provider Identifier
1033722103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5748
- Practice address
- 25 Dallas Hill Road
Rangeley, ME 04970 - Phone
- (207) 864-3332
- NPI assigned
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5748 | ME | Primary |
Addresses
Primary practice location
25 Dallas Hill Road
Rangeley, ME 04970
Mailing address
PO Box 542
Rangeley, ME 04970-0542
Phone (203) 885-9781
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5748 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1033722103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 542",
"city": "RANGELEY",
"state": "ME",
"postal_code": "049700542",
"telephone_number": "203-885-9781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DALLAS HILL ROAD",
"city": "RANGELEY",
"state": "ME",
"postal_code": "04970",
"telephone_number": "207-864-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGIAFICO",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rangeley, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.