Nicole Marie Mansfield, PTA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

TE011009 Issued in PA

Practice address

549 Edgewood Rd
Beaver Falls, PA 15010-4919

Phone

(724) 650-3577

NPI assigned

Nov 29, 2016

Last updated

Nov 29, 2016By the provider in NPPES

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

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1356884910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 EDGEWOOD RD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104919",
            "telephone_number": "724-650-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 EDGEWOOD RD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104919",
            "telephone_number": "724-650-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "TE011009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynch
• Joshua Arin Mackenstein, MA
• Mary Lou Mackievich, CRNP
• Valerie Lynn Malinowski
• Max C Maloney, LSW
• Mari Wargo-Dorsey, DPM
• Lacey M Marks, LCSW
• Demetrios Constantino Marousis, MA, NCC, LPC
• Shelley Lynn Mastrangelo, R.N.
• Match One Medical Marketing Marketing Consultants LLC

• Physical Therapy Clinic/Center in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.