Janine P Mancuso, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9708 Issued in NC

Practice address

3701 NW Cary Parkway
Suite 301
Cary, NC 27513

Phone

(919) 388-0111

Fax

(919) 228-3333

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Janine P Therrien Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386789063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 NW CARY PARKWAY",
            "address_2": "SUITE 301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-388-0111",
            "fax_number": "919-228-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 NW CARY PARKWAY",
            "address_2": "SUITE 301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-388-0111",
            "fax_number": "919-228-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "JANINE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7194752",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "079W4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "THERRIEN",
            "middle_name": "P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Riely Malouf, LCSW
• Danielle Nicole Malzi, M.S OTR/L
• Grace John Manchala
• Charlotte Brown Mancil, DPT
• Jamie Mancuso, MSN, RN, CPNP-PC
• Hilary Dawn Mandzik, PSYD, EDM, HSP-P
• Venkata Naga Sushma Manepalli
• Orquidea Mangal
• Rebecca Leigh Manganello, DO
• Heidi Mangelsdorf, M.D.

• Physical Therapist in Cary, NC
• Providers in Cary, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.