Individual provider Active NPI

Janelle Z. Mann, PT, PCS

  • Pediatric Physical Therapist
  • Jacksonville, NC
National Provider Identifier
1710177217
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1145 Issued in NC
Practice address
410 New Bridge St
Suite 10a
Jacksonville, NC 28540-4739
Phone
(910) 347-2212
Fax
(910) 347-6003
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1145 NC Primary

Addresses

Primary practice location

410 New Bridge St
Suite 10a
Jacksonville, NC 28540-4739

Mailing address

410 New Bridge St
Suite 10a
Jacksonville, NC 28540-4739
Phone (910) 347-2212

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
1145NCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Step Therapy Inc Past Accepting new patients
J.Z. Mann Pediatric Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1710177217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NEW BRIDGE ST",
            "address_2": "SUITE 10A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404739",
            "telephone_number": "910-347-2212",
            "fax_number": "910-347-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NEW BRIDGE ST",
            "address_2": "SUITE 10A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404739",
            "telephone_number": "910-347-2212",
            "fax_number": "910-347-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JANELLE",
        "middle_name": "Z.",
        "credential": "PT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.