Derek Mansfield Physical Therapy Services, P.C.

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

DEREK MANSFIELD PHYSICAL THERAPY SERVICES, P.C.

Practice address

145 Palisade St Ste 200
Dobbs Ferry, NY 10522-1627

Phone

(914) 222-0876

NPI assigned

Jul 22, 2019

Organization subpart

No

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

Authorized official

Name

Derek Mansfield, PTNPI 1831558139

Title

Principal

Phone

(914) 222-0876

Specialties & licenses 2

Addresses

Other names 1

• SportsCentric Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Mansfield, PT

  • Sports Physical Therapist
  • Dobbs Ferry, NY
  • NPI 1831558139
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1407409279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COLONIAL AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222902",
            "telephone_number": "914-222-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PALISADE ST STE 200",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221627",
            "telephone_number": "914-222-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK MANSFIELD PHYSICAL THERAPY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "914-222-0876",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SportsCentric Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deana Delasho, TEACHER
• Eunice Almeida Delgado
• Michelle Anne Demerin, PT
• Kerri Yvonne Demitrovic, P.T.
• Joanie Demuro
• Diagnostic Vascular Technologies LLC
• Denise Dicristofaro
• Archibaldo Dinzey
• Elena Dirusso, DO
• Cristine Divinagracia

• Sports Physical Therapist in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.