Cassidy Erin Mangan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2311 W 22ND St Ste 110
Oak Brook, IL 60523-1261

Phone

(630) 912-6040

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By the provider in NPPES

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Andersonville Physical Therapy, SCGroup PAC ID 9133170731, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Andersonville Physical Therapy, SC

  • Physical Therapist
  • Chicago, IL
  • NPI 1043368731
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1659056323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463080033",
            "telephone_number": "219-916-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W 22ND ST STE 110",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231261",
            "telephone_number": "630-912-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "CASSIDY",
        "middle_name": "ERIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonardo Malalis, M.D.
• Eleni H Malamis, PSY.D.
• Sharon Maldonado
• Shannon K Malloy, CRNA
• Seema R Mamtora, PA-C
• Alondra Manriquez
• Christine Anne Mares, PHARM D.
• Maria Nucci, PHD, S.C.
• Mario C. Yu MD PC
• Mark E Sharp PHD PC (The Aiki Relationships Institute)

• Physical Therapist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.