Amanda Lynn Mann, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1180-019 Issued in WI

Practice address

316 North Milwaukee Street
208
Milwaukee, WI 53202-5803

Phone

(414) 615-0665

Fax

(888) 389-9031

NPI assigned

Jul 8, 2009

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

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.

• Heritage Healthcare Group, LLC

  • Registered Dietitian
  • Milwaukee, WI
  • NPI 1225392046
  NPD (past)
• Heritage Healthcare Group LLC

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1386995058
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1336378645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NORTH MILWAUKEE STREET",
            "address_2": "208",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025803",
            "telephone_number": "414-615-0665",
            "fax_number": "888-389-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 NORTH MILWAUKEE STREET",
            "address_2": "208",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025803",
            "telephone_number": "414-615-0665",
            "fax_number": "888-389-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1180-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawne Marie Manista, PT
• Jigar Prakashchandra Mankad, M.D.
• Zachary Samuel Mankoff
• Ann-Marie Manley
• Alyssa Mann
• Amy Lynn Mann, OT
• Elsey N Mann, NP
• Jillian Mann, OT
• Joshna Mann, RN
• Mary Kathleen Mann, LPC-IT

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.