Lisa Ann Mammano, MS RPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

006580 Issued in CT

Practice address

23 Woodland Rd
Madison, CT 06443

Phone

(203) 245-9293

Fax

(203) 245-2522

NPI assigned

Dec 29, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Cross Therapy, LLC

  • Physical Therapist
  • Guilford, CT
  • NPI 1376574392
  NPD (past)
• Integrative Physical Therapy, LLC

  • Physical Therapist
  • Guilford, CT
  • NPI 1265568281
  NPD (past)
• Physical Therapy Center of Madison

  • Physical Therapist
  • Madison, CT
  • NPI 1609970201
  NPD (past)
• Physical Therapy Services of Guilford LLC

  • Physical Therapist
  • Branford, CT
  • NPI 1235351289
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629134945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WOODLAND RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "06405",
            "telephone_number": "203-245-9293",
            "fax_number": "203-245-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WOODLAND RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "06443",
            "telephone_number": "203-245-9293",
            "fax_number": "203-245-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMANO",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "006580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Radiology PC
• Madison Radiology, PC
• Madison Rehabilitation Center Inc
• Magnolia Behavioral Health, LLC
• Karel J. Malovany, D.D.S.
• Nancy M Mann, LCSW
• Justin Louis Labella Marchese, MFT
• Owen Marica
• Daniela Marinescu, D.D.S.
• Marius Alexandru Marinescu, DDS

• Specialist in Madison, CT
• Providers in Madison, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.