Jamie Mangini
Individual provider Active NPI Physical Therapist · Fairmount City, PA
NPI 1285089870 · NPPES record last updated Mar 10, 2017
Key facts
- NPI
- 1285089870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT025024 (PA)
- Practice address
- 987 Brookville St
Fairmount City, PA 16224-0046 - Phone
- (814) 275-1000
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041422 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT025024 | PA | Yes |
Addresses
Primary practice location
987 Brookville St
Fairmount City, PA 16224-0046
Mailing address
15 S Main St
Ste 220
Jamestown, NY 14701-6626
Phone (716) 488-2322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65 | Other | PA | MEDICARE B SPECIALTY CODE |
Other providers in Fairmount City, PA
- Georgi Anne Grafton
- Health Services of Clarion Inc
- Health Services of Clarion, Inc.
- Hometown Oxygen Pittsburgh LLC
- Tara Lynn Keister
- Crystal Meier
- Marcy L Monrean
- Moore Physical Therapy Inc.
- Justin L Moore
- Ahmad Nabatchi
All providers in Fairmount City, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.