Kadeen Mansor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6345 S Cedar Springs St
Camp Verde, AZ 86322

Phone

(602) 793-1215

NPI assigned

Jun 16, 2009

Last updated

Aug 5, 2016By the provider in NPPES

Sex

Male

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gila Health ResourcesGroup PAC ID 1254327216, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kadeen.mansor.1@33093.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gila Health Resources

  • Family Medicine Physician
  • Morenci, AZ
  • NPI 1497740187
  Medicare reassignment Care Compare group NPD
• Sedona Physical Therapy, LLC

  dba Lebec Physical Therapy

  • Physical Therapy Clinic/Center
  • Sedona, AZ
  • NPI 1407407513

  Physical Therapist

  NPD
• Canyon State Physical Therapy

  dba Physicians Physical Therapy Service

  • Physical Therapist
  • Glendale, AZ
  • NPI 1225087158
  NPD (past)
• Olympic Physical Therapy, Inc

  dba Physicians Physical Therapy Service

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1790733525
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1386871440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 943",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863220943",
            "telephone_number": "602-793-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 S CEDAR SPRINGS ST",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "86322",
            "telephone_number": "602-793-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOR",
        "first_name": "KADEEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerilyn Klingenberg, A.T.R.
• Anjaneyulu Kosaraju, MD
• Jack I. Lipton, D.M.D.
• M. E. Emshwiller DMD P.C.
• Susan M Malloy, PHARMD
• Marcy Sedona Services, Inc
• Jane Mathews, M.A. ED.
• Robin Matteo, FNP-BC
• Megan Messick, RN
• Donna Marie Metzler, R.N.

• Physical Therapist in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.