Individual provider Active NPI

Andrew J Mangano, PT

  • Physical Therapist
  • Macedonia, OH
National Provider Identifier
1346230919
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5727 Issued in OH
Practice address
746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732
Phone
(330) 908-0039
Fax
(330) 908-0211
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5727 OH Primary

Addresses

Primary practice location

746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732

Mailing address

746 E Aurora Rd
Suite 7
Macedonia, OH 44056-2732
Phone (330) 908-0039

Other identifiers 1

IdentifierTypeStateIssuer
PT05727OtherOHOHIO OT PT ATC BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091106000045 OH Practitioner - Physical Therapist in Private Practice 6901885300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy Northern Ohio LLCGroup PAC ID 7315179561, 50 clinicians

Practice addresses (Care Compare)

129 5TH Street SE
Barberton, OH 44203-2512
Phone (330) 631-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5727OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Apr 1, 2014 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Sep 10, 2021 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Sep 10, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

129 5th St SE
Barberton, OH 44203
Phone (330) 631-0010

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

8073 Washington Village Dr
Ste 110
Dayton, OH 45458
Phone (937) 938-8380

746 E Aurora Rd
Ste 7
Macedonia, OH 44056
Phone (330) 908-0039

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1346230919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 E AURORA RD",
            "address_2": "SUITE 7",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562732",
            "telephone_number": "330-908-0039",
            "fax_number": "330-908-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 E AURORA RD",
            "address_2": "SUITE 7",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562732",
            "telephone_number": "330-908-0039",
            "fax_number": "330-908-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANO",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT5727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OT PT ATC BOARD",
            "identifier": "PT05727",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedonia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.