Active NPI
Theresa Mannino, PT
- Physical Therapist
- Shippensburg, PA
National Provider Identifier
1619198611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001613E
- Practice address
- 121 Walnut Bottom Rd
Shippensburg, PA 17257 - Phone
- (717) 530-8300
- NPI assigned
- May 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT001613E | PA | Primary |
Addresses
Primary practice location
121 Walnut Bottom Rd
Shippensburg, PA 17257
Mailing address
2224 Lindsay Lot Rd
Shippensburg, PA 17257-8595
Phone (717) 918-0330
Other practice location 1
121 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 530-8300 ext. 7224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT001613E | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1619198611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 LINDSAY LOT RD",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172578595",
"telephone_number": "717-918-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WALNUT BOTTOM RD",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "17257",
"telephone_number": "717-530-8300"
}
],
"practiceLocations": [
{
"address_1": "121 Walnut Bottom Rd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "17257",
"country_code": "US",
"telephone_number": "717-530-8300 x7224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANNINO",
"first_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT001613E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shippensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.