Active NPI
Anthony Robert Mancini, PT
- Physical Therapist
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP014405T
- Practice address
- 861 Fairview Ave Ste 102
Bowling Green, KY 42101-4991 - Phone
- (270) 783-8438
- NPI assigned
- Jun 21, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP014405T | KY | Primary |
| Physical Therapist | 225100000X | 10043 | TN |
Addresses
Primary practice location
861 Fairview Ave Ste 102
Bowling Green, KY 42101-4991
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005
Other practice location 1
311 Congress Pkwy N
Ste 800
Athens, TN 37303-1699
Phone (423) 744-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1861 Westen St
Suite B
Bowling Green, KY 42104-4151
Phone (270) 904-2753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10043 | TN | MD | Dentist |
| CP014405T | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Ky LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Kentucky LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Kentucky LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969
861 Fairview Ave
Ste 102
Bowling Green, KY 42101
Phone (270) 783-8438
1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086
805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833
200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152
311 Congress Pkwy N
Ste 800
Athens, TN 37303
Phone (423) 744-0890
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Organizations & group practices 8
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 Therapist
- Lexington, KY
- NPI 1821430257
-
- Physical Therapist
- Richmond, KY
- NPI 1003258443
-
- Physical Therapist
- Winchester, KY
- NPI 1639511074
-
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1609117811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1124433891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-497-0005",
"fax_number": "423-954-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 FAIRVIEW AVE STE 102",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421014991",
"telephone_number": "270-783-8438"
}
],
"practiceLocations": [
{
"address_1": "311 Congress Pkwy N",
"address_2": "Ste 800",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "TN",
"postal_code": "373031699",
"country_code": "US",
"telephone_number": "423-744-3555",
"fax_number": "423-744-0849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANCINI",
"first_name": "ANTHONY",
"middle_name": "ROBERT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-21",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "CP014405T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10043",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.