Active NPI
Diane M Mancini, LMT
- Orthotic Fitter
- Coventry, RI
National Provider Identifier
1740886142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- 01788
- Practice address
- 51 Hopkins Hill Rd
Coventry, RI 02816 - Phone
- (401) 828-3030
- Fax
- (401) 828-3083
- NPI assigned
- Dec 10, 2020
- Last updated
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | 01788 | RI | Primary |
Addresses
Primary practice location
51 Hopkins Hill Rd
Coventry, RI 02816
Mailing address
66 Helen Ave
Coventry, RI 02816
Phone (401) 440-6971
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01788 | RI | MD | Orthotic Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Chiropractic Inc. | Current | 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.
-
dba Decubellis Family Chiropractic
- Chiropractor
- Coventry, RI
- NPI 1649335159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1740886142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HELEN AVE",
"city": "COVENTRY",
"state": "RI",
"postal_code": "02816",
"telephone_number": "401-440-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 HOPKINS HILL RD",
"city": "COVENTRY",
"state": "RI",
"postal_code": "02816",
"telephone_number": "401-828-3030",
"fax_number": "401-828-3083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCINI",
"first_name": "DIANE",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "RI",
"license": "01788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coventry, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.