Active NPI
M. Alysia Mastrangelo, PT
- Physical Therapist
- Lumberton, NJ
National Provider Identifier
1194933994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00621500
- Practice address
- 1561 Route 38
Suite 5
Lumberton, NJ 08048-2939 - Phone
- (609) 828-7178
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00621500 | NJ | Primary |
Addresses
Primary practice location
1561 Route 38
Suite 5
Lumberton, NJ 08048-2939
Mailing address
3 Candle CT
Shamong, NJ 08088-8407
Phone (609) 268-9179
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00621500 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194933994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CANDLE CT",
"city": "SHAMONG",
"state": "NJ",
"postal_code": "080888407",
"telephone_number": "609-268-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 ROUTE 38",
"address_2": "SUITE 5",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080482939",
"telephone_number": "609-828-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTRANGELO",
"first_name": "M. ALYSIA",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00621500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.