Individual provider Active NPI

Carl J Mangione, PT,DPT,OSC,RKC

  • Specialist
  • Warrington, PA
National Provider Identifier
1053538256
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
DAPT 000136 Issued in PA
Practice address
1243 Easton Rd
Suite 104
Warrington, PA 18976-3801
Phone
(215) 343-9400
Fax
(215) 343-4401
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DAPT 000136 PA Primary

Addresses

Primary practice location

1243 Easton Rd
Suite 104
Warrington, PA 18976-3801

Mailing address

1243 Easton Rd
Suite 104
Warrington, PA 18976-3801
Phone (215) 343-9400

Other identifiers 3

IdentifierTypeStateIssuer
1439307OtherPAPA BS
050522946OtherPACORPORATE
2133068000OtherPAPERSONAL CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120412000560 PA Practitioner - Physical Therapist in Private Practice 6305861956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mangione Physical Therapy IncGroup PAC ID 8426040627, 2 clinicians

Practice addresses (Care Compare)

1243 Easton Rd
Suite 104
Warrington, PA 18976-3801
Phone (215) 343-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT 000136PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mangione Physical Therapy Inc CurrentSince Jun 17, 2002 Accepting new patients

Locations

1243 Easton Rd
Ste 104
Warrington, PA 18976
Phone (215) 343-9400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1053538256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 EASTON RD",
            "address_2": "SUITE 104",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189763801",
            "telephone_number": "215-343-9400",
            "fax_number": "215-343-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 EASTON RD",
            "address_2": "SUITE 104",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189763801",
            "telephone_number": "215-343-9400",
            "fax_number": "215-343-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIONE",
        "first_name": "CARL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PT,DPT,OSC,RKC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "DAPT 000136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS",
            "identifier": "1439307",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE",
            "identifier": "050522946",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2133068000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.