Active NPI
Elizabeth Ann Mangione, PT
- Pediatric Physical Therapist
- Hawthorne, NY
National Provider Identifier
1437303294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 012101-1
- Practice address
- 1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157 - Phone
- (914) 347-5990
- Fax
- (914) 347-5236
- NPI assigned
- Nov 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 012101-1 | NY | Primary |
Addresses
Primary practice location
1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157
Mailing address
1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157
Phone (914) 347-5990
Other names 1
- Miss Elizabeth Ann Mangione
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012101-01 | NY | MD | Mental Health Counselor |
| 012101-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physical and Occupational Therapy of Hudson Valley, PLLC | Pediatrics | Current | Accepting new patients |
| Pediatric Physical and Occupational Therapy of Hudson Valley, PLLC | Past | Accepting new patients | |
| Kidabilities, LLC | Past | Accepting new patients | |
| Kidabilities LLC | Pediatrics | Past | Accepting new patients |
Locations
160 E Route 59
Nanuet, NY 10954
Phone (845) 362-7787
Organizations & group practices 4
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.
-
- Pediatric Physical Therapist
- Nanuet, NY
- NPI 1831418359
Pediatrics
-
- Early Intervention Provider Agency
- Hawthorne, NY
- NPI 1639540545
-
- Early Intervention Provider Agency
- Nanuet, NY
- NPI 1477421501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1437303294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SKYLINE DR",
"address_2": "SUITE 298",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322157",
"telephone_number": "914-347-5990",
"fax_number": "914-347-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SKYLINE DR",
"address_2": "SUITE 298",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322157",
"telephone_number": "914-347-5990",
"fax_number": "914-347-5236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGIONE",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "012101-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "MANGIONE",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.