Individual provider Active NPI

Jacquelyn Mansker, P.T.

  • Physical Therapist
  • Victoria, TX
National Provider Identifier
1669581849
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1049047 Issued in TX
Practice address
5205 John Stockbauer Dr
Victoria, TX 77904-1866
Phone
(361) 572-4246
Fax
(361) 572-9490
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1049047 TX Primary

Addresses

Primary practice location

5205 John Stockbauer Dr
Victoria, TX 77904-1866

Mailing address

602 Colony Creek Dr
Victoria, TX 77904-3806
Phone (361) 578-8373

Other names 1

  • Mrs. Jacki Mansker Other name

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

LicenseStateTypeSpecialty
1049047TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Rehabilitation, PC Physical Therapist PastSince Apr 27, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1669581849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 COLONY CREEK DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043806",
            "telephone_number": "361-578-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 JOHN STOCKBAUER DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041866",
            "telephone_number": "361-572-4246",
            "fax_number": "361-572-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSKER",
        "first_name": "JACQUELYN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1049047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKI",
            "last_name": "MANSKER",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.