John Mancini, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020597 Issued in NY

Practice address

375 Commack Rd
Ste B
Deer Park, NY 11729-5515

Phone

(631) 522-1955

Fax

(631) 522-1957

NPI assigned

May 1, 2007

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mancini Physical Therapy, PCGroup PAC ID 3072885904, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mancini Physical Therapy, PC

  • Physical Therapist
  • Deer Park, NY
  • NPI 1891217899

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1073734828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 COMMACK RD",
            "address_2": "STE B",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295515",
            "telephone_number": "631-522-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 COMMACK RD",
            "address_2": "STE B",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295515",
            "telephone_number": "631-522-1955",
            "fax_number": "631-522-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "JOHN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Naz Mahmud, MSN, APRN, PMHNP-BC
• Jenell Marie Maitre, NURSE
• Venel Maitre
• Chemin Marie Malone, NP
• Mancini Physical Therapy, PC
• Jesslynn Mannino, NP
• Valerie Nicole Marino
• Allison Marinos
• Mark Medical Care, PLLC
• Ron Mark, M.D.

• Physical Therapist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.