Individual provider Active NPI

Kelsey Mancini

  • Physical Therapist
  • North Attleboro, MA
National Provider Identifier
1245784958
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22487 Issued in MA
Practice address
500 E Washington St
North Attleboro, MA 02760-6301
Phone
(508) 316-0559
NPI assigned
Aug 10, 2016
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 22487 MA Primary

Addresses

Primary practice location

500 E Washington St
North Attleboro, MA 02760-6301

Mailing address

500 E Washington St
North Attleboro, MA 02760-6301
Phone (508) 316-0559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123003512 RI Practitioner - Physical Therapist in Private Practice 6103113592 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22487MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy PC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
Gastroenterology Associates Inc PastSince Aug 10, 2010 Accepting new patients
Paradigm Physical Therapy and Wellness Physical Therapist PastSince Mar 2, 2020 Accepting new patients

Locations

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBICBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1245784958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606301",
            "telephone_number": "508-316-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027606301",
            "telephone_number": "508-316-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.