Daniel James Mangan, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24351 Issued in CA

Practice address

41653 Margarita Rd
Suite 101
Temecula, CA 92591-2906

Phone

(951) 296-0400

Fax

(951) 296-5162

NPI assigned

Dec 5, 2005

Last updated

Jan 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mangan Physical Therapy IncGroup PAC ID 3971688839, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mangan Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Temecula, CA
  • NPI 1669658852
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1720062581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41653 MARGARITA RD",
            "address_2": "SUITE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925912906",
            "telephone_number": "951-296-0400",
            "fax_number": "951-296-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41653 MARGARITA RD",
            "address_2": "SUITE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925912906",
            "telephone_number": "951-296-0400",
            "fax_number": "951-296-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT243510",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR",
            "identifier": "0208672",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizan Maltai
• Cora Elizabeth Anne Mancaruso
• Yvette Mancilla
• Elyce Darcell Mandich, MSW, LCSW, PPSC
• Mangan Physical Therapy Inc
• Matilda Manka Mangan, NP
• Glydelle Mangrobang
• Blake Manhart
• James Mark Manley, M.F.T.
• Summer Manley

• Physical Therapist in Temecula, CA
• Providers in Temecula, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.