Active NPI
Tanya Mangini
- Massage Therapist
- Surprise, AZ
National Provider Identifier
1639907876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-13445
- Practice address
- 11321 W Bell Rd Ste 43
Surprise, AZ 85378-9363 - Phone
- (602) 402-9306
- NPI assigned
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-13445 | AZ | Primary |
Addresses
Primary practice location
11321 W Bell Rd Ste 43
Surprise, AZ 85378-9363
Mailing address
11825 W Camino Vivaz
Sun City, AZ 85373-5043
Phone (602) 402-9306
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 |
|---|---|---|---|
| MT-13445 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1639907876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11825 W CAMINO VIVAZ",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853735043",
"telephone_number": "602-402-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11321 W BELL RD STE 43",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789363",
"telephone_number": "602-402-9306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGINI",
"first_name": "TANYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-13445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.