Mango Physical Therapy & Wellness, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MANGO PHYSICAL THERAPY & WELLNESS, PLLC

Practice address

3501 Catalpa Dr
Wylie, TX 75098-7443

Phone

(814) 637-7946

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jaclyn Crawford, PT, DPTNPI 1871785857

Title

Physical Therapist/ Owner

Phone

(817) 637-7946

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Crawford, PT, DPT, MTC

  • Physical Therapist
  • Wylie, TX
  • NPI 1871785857
  Medicare reassignment NPD Authorized official
• Natalie Margaret Pitsch, PT, DPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1811424997

  TX

  Medicare reassignment
• Douglas Wheeler, PT, DPT

  • Physical Therapist
  • Richardson, TX
  • NPI 1205374592
  NPD
• Jordan Lormor, LPTA

  • Physical Therapist
  • Hot Springs, AR
  • NPI 1528660800
  NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1083492771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CATALPA DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987443",
            "telephone_number": "817-637-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CATALPA DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987443",
            "telephone_number": "814-637-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGO PHYSICAL THERAPY & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "817-637-7946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Mahmoud, MD
• Bethany Mailey, PT, DPT
• Carrol Diann Majors, RN
• Jade Sierra Mallett, DDS
• Manal Home Health Services Inc
• Daljit S Mann, PHARMD
• Kaleigh Ashton Mann
• Taylor Irwin Marando, MA. BCBA
• Francine Marinari, MS, CCC-SLP
• Marquis Mobile Dental Services of Texas, LLC

• Physical Therapist in Wylie, TX
• Providers in Wylie, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.