Victor Mandanas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01115100 Issued in NJ

Practice address

2054 Nakiska CT
Toms River, NJ 08755-1019

Phone

(732) 736-1045

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homestrides LLC

  • Physical Therapist
  • Wake Forest, NC
  • NPI 1225966351
  NPD Authorized official
• Mount Prospect Chiropractice Center

  • Chiropractor
  • Newark, NJ
  • NPI 1982827812

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1285677344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 NAKISKA CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551019",
            "telephone_number": "732-736-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 NAKISKA CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551019",
            "telephone_number": "732-736-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDANAS",
        "first_name": "VICTOR",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01115100",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "25903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Maloney
• Jennifer Malpass, MA, CCC-SLP
• Laraine Malvino, DPT
• Emma Leigh Mammano
• Aparna Mandal, MD
• Michael James Mandarino, PHARM.D., BCPS
• Todd A. Manela, D.D.S.
• Alfonso J Manforti Jr., D.C.
• Stephanie Manfre
• Manfredi Surgical & Orthopedic Co Inc

• Physical Therapist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.