Individual provider Active NPI

Poonam Vasant Mankar, PT

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1487268249
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5335 W Sublett Rd Ste 151
Arlington, TX 76017-1185
Phone
(817) 839-9150
Fax
(817) 391-8025
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5755 NM
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

5335 W Sublett Rd Ste 151
Arlington, TX 76017-1185

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

1609 N Prince St
Clovis, NM 88101-4850
Phone (575) 935-0360

Other practice location 2

1115 Fort Worth Hwy Ste 1200
Weatherford, TX 76086-4570
Phone (817) 594-9200

Other identifiers 2

IdentifierTypeStateIssuer
1329460OtherTXPHYSICAL THERAPY LICENSE
PT5755OtherNMPHYSICAL THERAPIST STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218000735 TX Practitioner - Physical Therapist in Private Practice 1850706102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

3055 Bardin Rd
Suite 200
Grand Prairie, TX 75052-3819
Phone (972) 522-2200

5335 W Sublett Rd
Suite 151
Arlington, TX 76017-1185
Phone (817) 839-9150

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5755NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince May 26, 2025 Accepting new patients
LJ Haynes Company Physical Therapist CurrentSince Feb 3, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince May 26, 2025 Accepting new patients

Locations

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

5335 W Sublett Rd
Ste 151
Arlington, TX 76017
Phone (817) 839-9150

1827 SW Green Oaks Blvd
Ste 143
Arlington, TX 76017
Phone (512) 501-4783

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

379 E FM 1382
Ste 100
Cedar Hill, TX 75104
Phone (972) 460-4490

607 S Cedar Ridge Dr
Unit 102
Duncanville, TX 75137
Phone (214) 742-8560

1540 Eastchase Pkwy
Ste 4A
Fort Worth, TX 76120

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

1115 Fort Worth Hwy
Ste 1200
Weatherford, TX 76086
Phone (817) 594-9200

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1487268249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 W SUBLETT RD STE 151",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171185",
            "telephone_number": "817-839-9150",
            "fax_number": "817-391-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 N Prince St",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014850",
            "country_code": "US",
            "telephone_number": "575-935-0360",
            "fax_number": "575-935-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Fort Worth Hwy Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760864570",
            "country_code": "US",
            "telephone_number": "817-594-9200",
            "fax_number": "817-594-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANKAR",
        "first_name": "POONAM",
        "middle_name": "VASANT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5755",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1329460",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST STATE LICENSE",
            "identifier": "PT5755",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.