Active NPI
George Stephen Mann III, PT
- Physical Therapist
- Saukville, WI
National Provider Identifier
1063736627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1516-024
- Practice address
- 4685 County Road Y
Saukville, WI 53080-1117 - Phone
- (262) 689-8185
- NPI assigned
- Mar 25, 2010
- 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 | 1516-024 | WI | Primary |
Addresses
Primary practice location
4685 County Road Y
Saukville, WI 53080-1117
Mailing address
4685 County Road Y
Saukville, WI 53080-1117
Phone (262) 689-8185
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 |
|---|---|---|---|
| 1516-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Fitness & Rehab, SC | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Mequon, WI
- NPI 1962450676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1063736627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 COUNTY ROAD Y",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "530801117",
"telephone_number": "262-689-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4685 COUNTY ROAD Y",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "530801117",
"telephone_number": "262-689-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "GEORGE",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1516-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saukville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.