Organization Active NPI

Homestrides LLC

  • Physical Therapist
  • Wake Forest, NC
National Provider Identifier
1225966351
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOMESTRIDES LLC
Practice address
409 Hawks Bluff CT
Wake Forest, NC 27587-3398
Phone
(201) 424-3301
NPI assigned
May 11, 2026
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Victor Mandanas, PTNPI 1285677344
Title
PT
Phone
(201) 424-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

409 Hawks Bluff CT
Wake Forest, NC 27587-3398

Mailing address

409 Hawks Bluff CT
Wake Forest, NC 27587-3398
Phone (201) 424-3301

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1225966351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 HAWKS BLUFF CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873398",
            "telephone_number": "201-424-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 HAWKS BLUFF CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873398",
            "telephone_number": "201-424-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTRIDES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "MANDANAS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "201-424-3301",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.