Kathleen Mammana, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA01131100 Issued in NJ

Practice address

504 New Friendship Rd
Howell, NJ 07731-2978

Phone

(732) 216-4677

NPI assigned

Jun 27, 2006

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

Other names 1

• Kathleen Reilly Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Momentum Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Howell, NJ
  • NPI 1669840336
  Medicare reassignment NPD Authorized official
• Coastal Home Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Belmar, NJ
  • NPI 1316236664

  Physical Therapist

  Medicare reassignment NPD
• Link Home Services of NJ LLC

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1972072585
  Medicare reassignment NPD
• First Choice Health Groupllc

  • Chiropractor
  • Brick, NJ
  • NPI 1629165782
  NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1740217660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 NEW FRIENDSHIP RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "07731",
            "telephone_number": "732-216-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 NEW FRIENDSHIP RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312978",
            "telephone_number": "732-216-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMANA",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01131100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "REILLY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elenito Maddatu, M.D.
• Rose Mylaine Q Maddatu, M.D.
• Sofia Anne Major
• Melissa Kelly Makower, MS PT
• Mamma'S Best Friend LLC
• Mamsurg Thoracic Surgery LLC
• Samantha Mandala
• Jenna Manfre
• Marc Mangulabnan
• Luis T Manlapid, MD

• Physical Therapist in Howell, NJ
• Providers in Howell, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.