Amanda Carolyn Mansker, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2939 Issued in MN

Practice address

3800 American Blvd W Ste 200
Bloomington, MN 55431-4420

Phone

(952) 993-5900

NPI assigned

Mar 11, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1245098565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 ZENITH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293416",
            "telephone_number": "763-807-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314420",
            "telephone_number": "952-993-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSKER",
        "first_name": "AMANDA",
        "middle_name": "CAROLYN",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josiah Jacob Mangas, DC
• Jean Manlove, LICSW
• Anita Louise Manne, D.C.
• Amanda Manning Hultgren, PHARMD
• Ariane Marie Manske, DPT, PT
• Sarah Mansky
• Megan Jean Manty, MS, LPCC
• Manzmed Start Corporations
• Fahad Ahmed Maow Hayow
• Dominic J Marcuccio, PA

• Physical Therapy Assistant in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.