Individual provider Active NPI

Jeffrey George Mansfield, M.S.P.T.

  • Physical Therapist
  • Red Hook, NY
National Provider Identifier
1154776193
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029963 Issued in NY
Practice address
40 Devereux Way
Red Hook, NY 12571-2268
Phone
(845) 758-1899
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029963 NY Primary

Addresses

Primary practice location

40 Devereux Way
Red Hook, NY 12571-2268

Mailing address

35 Scribo LN
Wappingers Falls, NY 12590-3611
Phone (845) 765-1290

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
029963NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Occupational and Physical Therapy Speech Language CurrentSince Aug 1, 2016 Accepting new patients

Locations

81 Mohawk St
Cohoes, NY 12047
Phone (518) 220-9933

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.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1154776193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SCRIBO LN",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903611",
            "telephone_number": "845-765-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DEVEREUX WAY",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125712268",
            "telephone_number": "845-758-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "JEFFREY",
        "middle_name": "GEORGE",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Hook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.