NPIMap

Organization Active NPI

John Todd Mansfield Physical Therapy, PC

Doing business as Southern Tier Physical Therapy

  • Physical Therapist
  • Vestal, NY
National Provider Identifier
1740226273
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOHN TODD MANSFIELD PHYSICAL THERAPY, PC
Doing business as
Southern Tier Physical Therapy
Practice address
200 Front Street
Suite D
Vestal, NY 13850-1608
Phone
(607) 754-1776
Fax
(607) 772-2899
NPI assigned
Jun 22, 2006
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Mr. John Todd Mansfield, PTNPI 1013027010
Title
Owner/PT
Phone
(607) 754-1776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X NY Primary

Addresses

Primary practice location

200 Front Street
Suite D
Vestal, NY 13850-1608

Mailing address

200 Front St
Suite D
Vestal, NY 13850-1559
Phone (607) 754-1776

Other names 1

  • Southern Tier Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Tier Associats2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

61 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 723-8135

65 Pennsylvania Ave
Ste 100
Binghamton, NY 13903
Phone (607) 723-8135

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1740226273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FRONT ST",
            "address_2": "SUITE D",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501559",
            "telephone_number": "607-754-1776",
            "fax_number": "607-772-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FRONT STREET",
            "address_2": "SUITE D",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501608",
            "telephone_number": "607-754-1776",
            "fax_number": "607-772-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN TODD MANSFIELD PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "607-754-1776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Tier Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.