NPIMap

Organization Active NPI

Mansfield Physical Therapy & Wellness LLC

  • Rehabilitation Practitioner
  • Mansfield, MA
National Provider Identifier
1750882353
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
MANSFIELD PHYSICAL THERAPY & WELLNESS LLC
Practice address
200 Chauncy St Ste 4
Mansfield, MA 02048
Phone
(508) 339-7999
NPI assigned
Feb 28, 2018
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Susie DeanaNPI 1174514947
Title
President
Phone
(508) 261-1080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

200 Chauncy St Ste 4
Mansfield, MA 02048

Mailing address

200 Chauncy St
Mansfield, MA 02048-1200
Phone (508) 261-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180315000965 MA Part B Supplier - Clinic/Group Practice 4082976832 Receives reassigned benefits from 12 practitioners
Practice locations: Mansfield, MA

National Provider Directory

National Provider Directory

Locations

200 Chauncy St
Mansfield, MA 02048
Phone (508) 339-7999

200 Chauncy St
Ste 104
Mansfield, MA 02048
Phone (508) 339-7999

200 Chauncy St
Ste 4
Mansfield, MA 02048
Phone (508) 339-7999

Practitioners & affiliated clinicians

Practitioners 12

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": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1750882353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481200",
            "telephone_number": "508-261-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHAUNCY ST STE 4",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "02048",
            "telephone_number": "508-339-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "DEANA",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-261-1080"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.