Active NPI
Dawn M Mansfield
- Physical Therapist
- Rockford, IL
National Provider Identifier
1528480241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.004473
- Practice address
- 6451 East Riverside Blvd
Suite 103
Rockford, IL 61114 - Phone
- (815) 639-9900
- NPI assigned
- Jan 15, 2014
- Last updated
- Jan 15, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.004473 | IL | Primary |
| Massage Therapist | 225700000X | 227.015797 | IL |
Addresses
Primary practice location
6451 East Riverside Blvd
Suite 103
Rockford, IL 61114
Mailing address
6451 E. Riverside Blvd.
#103
Rockford, IL 61114
Phone (815) 639-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6451 E Riverside Blvd
Suite 103
Rockford, IL 61114-4402
Phone (815) 639-9900
6451 E Riverside Blvd
Suite 103
Rockford, IL 61114-4421
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.1 of 100
- Quality
- 95
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 70.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.004473 | IL | MD | Physical Therapist |
| 227.015797 | IL | MD | Massage Therapist |
Organizations & group practices 1
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.
-
- Chiropractor
- Rockford, IL
- NPI 1568580843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1528480241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6451 E. RIVERSIDE BLVD.",
"address_2": "#103",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61114",
"telephone_number": "815-639-9900",
"fax_number": "815-639-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6451 EAST RIVERSIDE BLVD",
"address_2": "SUITE 103",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61114",
"telephone_number": "815-639-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSFIELD",
"first_name": "DAWN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.004473",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.015797",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.