Individual provider Active NPI

Mansi Thaker, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1548053580
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053842 Issued in NY
Practice address
551 Madison Ave
New York, NY 10022-3212
Phone
(212) 737-9000
NPI assigned
May 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 053842 NY Primary

Addresses

Primary practice location

551 Madison Ave
New York, NY 10022-3212

Mailing address

551 Madison Ave Ste 1201
New York, NY 10022-3390
Phone (727) 859-8726

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821000642 NY Practitioner - Physical Therapist in Private Practice 7416457841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Wellness Medical PCGroup PAC ID 2567786486, 5 clinicians

Practice addresses (Care Compare)

551 Madison Ave
Suite 1201
New York, NY 10022-3390
Phone (212) 737-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053842NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Wellness Medical PC CurrentSince May 23, 2025 Accepting new patients
Brian Mayrsohn MD PLLC PastSince May 23, 2025 Accepting new patients

Locations

551 Madison Ave
Ste 1201
New York, NY 10022
Phone (212) 737-0000

Organizations & group practices 2

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": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1548053580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 MADISON AVE STE 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223390",
            "telephone_number": "727-859-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223212",
            "telephone_number": "212-737-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "MANSI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.