Jared Charles Mannello, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01314800 Issued in NJ

Practice address

450 Bay Ave Ste 3
Somers Point, NJ 08244-2656

Phone

(609) 350-6680

NPI assigned

Jul 2, 2012

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jared C Mannello LLCGroup PAC ID 4183969165, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jared C Mannello LLC

  • Physical Therapist
  • Somers Point, NJ
  • NPI 1164990933
  Medicare reassignment Care Compare group Authorized official
• Boost Physio and Performance

  • Physical Therapist
  • Medford, NJ
  • NPI 1174381370
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1568726800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N DELSEA DR UNIT B",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121637",
            "telephone_number": "856-423-7000",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BAY AVE STE 3",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442656",
            "telephone_number": "609-350-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNELLO",
        "first_name": "JARED",
        "middle_name": "CHARLES",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01314800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Love US, Inclusive Counseling Services, LLC
• Christopher Lucasti, DO FACOI
• Ann Macmurray, APN
• Jennifer Rose Maguire, MS, MA, LPC, ACS
• Mainland Family Medicine, PC
• Marathon Medical Assoc.,P.a.
• Sarah Ann Marcolongo, OTR/L
• Dante Marconi, M.D.
• Stanley C Marczyk, MD
• Olivia Marie Marinelli, LCSW

• Physical Therapist in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.