Michele Mancinelli, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006536-L Issued in PA

Practice address

1111 Street Rd
Suite 104
Southampton, PA 18966-4250

Phone

(215) 675-4466

Fax

(215) 675-3711

NPI assigned

Jan 16, 2007

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

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.

• Medical Rehabilitation Centers of PA, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Broomall, PA
  • NPI 1902944374
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063563831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 LAVERA RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742615",
            "telephone_number": "215-674-5173",
            "fax_number": "215-674-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 STREET RD",
            "address_2": "SUITE 104",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664250",
            "telephone_number": "215-675-4466",
            "fax_number": "215-675-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINELLI",
        "first_name": "MICHELE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006536-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Magrann
• Nargiza Mahmudova, DPM
• Joseph John Maio, DC
• Nicholas Joseph Maio, D.C.
• John Joseph Malizia Sr., RPH
• Louis J Manco, OD
• Robert E Mannherz, MD
• Marbell Integral Health Physical and Mental Wellness Clinic PLLC
• Marc S Rabinowitz MD PC
• Donald K. Marcus, M.D.

• Physical Therapist in Southampton, PA
• Providers in Southampton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.