Andrea Lynn Manganiello, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

294920 Issued in CA

Practice address

6770 N West Ave Ste 101a
Fresno, CA 93711-1399

Phone

(559) 878-4266

Fax

(559) 283-8746

NPI assigned

Aug 7, 2018

Last updated

Jul 8, 2021By the provider in NPPES

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 names 1

• Andrea Lynn Mersino Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Rehabilitation and Orthopedic Physical Therapy IncGroup PAC ID 3476465774, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Precision Rehabilitation & Orthopedic Physical Therapy Inc

  dba Pro-PT

  • Physical Therapy Clinic/Center
  • Visalia, CA
  • NPI 1275564296

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Precision Rehabilitation & Orthopedic Physical Therapy Inc

  dba Pro-PT

  • Specialist
  • Tulare, CA
  • NPI 1972128320

  Physical Therapist

  NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1467931857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916015",
            "telephone_number": "559-713-6806",
            "fax_number": "559-713-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 N WEST AVE STE 101A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111399",
            "telephone_number": "559-878-4266",
            "fax_number": "559-283-8746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 Academy Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sanger",
            "state": "CA",
            "postal_code": "936573195",
            "country_code": "US",
            "telephone_number": "559-876-1191",
            "fax_number": "559-876-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGANIELLO",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MERSINO",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Supreet Singh Manesh, M.D.
• Lauren Michaela Manfredi - Smith
• Elizabeth Manfredi
• Heather Manfredi
• Ryan Regineel Mangal
• Amarjit S. Mangat, MD
• Rupinderpal S Mangat
• Sabrina Mangat, D.M.D.
• Kashish D Manglani
• Devin Robert Mangold, M.D.

• Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.