Bonnie Mangino, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12164 Issued in NC

Practice address

1505 SW Cary Pkwy Ste 304
Cary, NC 27511-6219

Phone

(919) 463-9443

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Avante Physical Therapy

  • Orthopedic Physical Therapist
  • Cary, NC
  • NPI 1376522540
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1386790301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SW CARY PKWY STE 304",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116219",
            "telephone_number": "919-463-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SW CARY PKWY STE 304",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116219",
            "telephone_number": "919-463-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGINO",
        "first_name": "BONNIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12164",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35415",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Dawn Mandzik, PSYD, EDM, HSP-P
• Venkata Naga Sushma Manepalli
• Orquidea Mangal
• Rebecca Leigh Manganello, DO
• Heidi Mangelsdorf, M.D.
• Keyonda Mangum
• Natasha Mangvilay-Walker
• Anita Maniktala, M.D.
• Kristina Meyers Manley
• Mann Ear Nose & Throat Clinic PA

• 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 Sep 15, 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.