Mena K Mansour, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37668 Issued in FL

Practice address

2915 Lakeview Dr Ste 1081
Fern Park, FL 32730-2056

Phone

(407) 850-8489

NPI assigned

Mar 25, 2025

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thesonslight

  dba TriMotion

  • Physical Therapy Clinic/Center
  • Fern Park, FL
  • NPI 1336941913

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1174325757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 LAKEVIEW DR STE 1081",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302056",
            "telephone_number": "407-850-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 LAKEVIEW DR STE 1081",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302056",
            "telephone_number": "407-850-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "MENA",
        "middle_name": "K",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bassem Atef Lawendy
• Adam Ross Leavitt, M.D.
• Nelson Lucca, M.ED.,RMHC
• Edwin Lusung Manalo, P.T.
• Ronald J Manchester
• Deatrice Martinez, ADMINISTRATION
• Jane McDaniel, LMHC
• Miriam Medina, RPH.
• Latoya Denise Mikell, LPN
• Mikhail Family Chiropractic & Sports Rehabilitation Center, LLC (Mikhail Chiropractic)

• Physical Therapist in Fern Park, FL
• Providers in Fern Park, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.