Abner Mantoo, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05009772A Issued in IN

Practice address

51238 Kendallwood Dr
Granger, IN 46530-4705

Phone

(407) 273-6837

NPI assigned

Feb 6, 2015

Sex

Female

Sole proprietor

No

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

Locations

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.

• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457
  NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975
  NPD

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1336530757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51238 KENDALLWOOD DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51238 KENDALLWOOD DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304705",
            "telephone_number": "407-273-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTOO",
        "first_name": "ABNER",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009772A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Madlem, FNP, MSN, RN
• Dawn Marie Mahaffey, FNP
• Naina Mahngar, M.D.
• Michelle Mai
• Major Hospital (Belltower Health & Rehabilitation Center)
• Marcia Koelndorfer Counseling, LLC
• Bonnie Sue Mark
• Megan Martin, DPT
• Amy Mason, M.S., CCC-SLP
• Kimberly Sue Matthews, MPT

• Physical Therapist in Granger, IN
• Providers in Granger, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.