Mandeville Physical Therapy & Wellness, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3087 Issued in AL

Legal business name

MANDEVILLE PHYSICAL THERAPY & WELLNESS, INC

Practice address

8300 Whitesburg Dr SE
Suite a
Huntsville, AL 35802-3008

Phone

(256) 679-6642

Fax

(256) 883-1533

NPI assigned

Feb 5, 2011

Organization subpart

No

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

Authorized official

Name

Matt Mandeville, PT

Title

Owner

Phone

(256) 679-6641

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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.

• Matthew S Mandeville, PT,ATC

  • Specialist
  • Huntsville, AL
  • NPI 1992748321
  Medicare reassignment NPD

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1477859601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 WHITESBURG DR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023064",
            "telephone_number": "256-679-6642",
            "fax_number": "256-270-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 WHITESBURG DR SE",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023008",
            "telephone_number": "256-679-6642",
            "fax_number": "256-883-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDEVILLE PHYSICAL THERAPY & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-05",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "MANDEVILLE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-679-6641",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Malone, PMHNP-BC
• Margaret Maloney
• Meggin Maloney
• Mamm Enterprises, LLC
• Managed Health Care Administration, Inc
• Katelyn Elizabeth Mandeville, MED, ALC
• Matthew S Mandeville, PT,ATC
• Jason Neal Manley, LPN
• Calvin Sylvester Mann, CRNA
• James Chadwick Mann, M.D.

• Physical Therapist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.