Active NPI
Kristina L Mansell, D.P.T.
- Physical Therapist
- Alexander City, AL
National Provider Identifier
1306000450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23749
- Practice address
- 3316 Highway 280
Russell Medical Center
Alexander City, AL 35010-7547 - Phone
- (440) 476-2541
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23749 | AL | Primary |
Addresses
Primary practice location
3316 Highway 280
Russell Medical Center
Alexander City, AL 35010-7547
Mailing address
1272 Coley Creek Rd
Alexander City, AL 35010-7547
Phone (440) 476-2541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23749 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1306000450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 COLEY CREEK RD",
"city": "ALEXANDER CITY",
"state": "AL",
"postal_code": "350107547",
"telephone_number": "440-476-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 HIGHWAY 280",
"address_2": "RUSSELL MEDICAL CENTER",
"city": "ALEXANDER CITY",
"state": "AL",
"postal_code": "350107547",
"telephone_number": "440-476-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSELL",
"first_name": "KRISTINA",
"middle_name": "L",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "23749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexander City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.