Individual provider Active NPI

Daniel Jason Mans, PTA

  • Physical Therapy Assistant
  • Wilmington, DE
National Provider Identifier
1669629820
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
J2-0000407 Issued in DE
Practice address
501 W. 14TH St
8TH Floor
Wilmington, DE 19801
Phone
(302) 428-6662
NPI assigned
Aug 19, 2008
Last updated
Aug 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X J2-0000407 DE Primary

Addresses

Primary practice location

501 W. 14TH St
8TH Floor
Wilmington, DE 19801

Mailing address

2202 Lancaster Ave
Wilmington, DE 19805
Phone (302) 429-0510

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
J2-0000407DEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Initiatives Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1669629820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 LANCASTER AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-429-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W. 14TH ST",
            "address_2": "8TH FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-428-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANS",
        "first_name": "DANIEL",
        "middle_name": "JASON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0000407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.