Melody R Mandell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT294199 Issued in CA

Practice address

9563 Laguna Springs Dr
Elk Grove, CA 95758-8204

Phone

(916) 691-9822

Fax

(916) 691-9448

NPI assigned

Jan 18, 2018

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State-of-the-Art Physical Therapy, Inc.Group PAC ID 5496948952, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• State-of-the-Art Physical Therapy, Inc.

  • Physical Therapist
  • Tustin, CA
  • NPI 1437179959
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1477061901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9563 LAGUNA SPRINGS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588204",
            "telephone_number": "916-691-9822",
            "fax_number": "916-691-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9563 LAGUNA SPRINGS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588204",
            "telephone_number": "916-691-9822",
            "fax_number": "916-691-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "MELODY",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neeta Malviya, MD
• Azaam Mamoor, MD
• David Roland Catan Manalang
• Susan Bravo Manangan, DDS
• Monica Mancera
• Shiny Mandla, DO
• Bogdan Mandzyuk, PHARMD
• Joseph Paul Henry Manez
• Madison Manez
• Philip Manganti

• Physical Therapist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.