Active NPI
Mark Rex Mahnensmith, PT, DPT, CSCS
- Physical Therapist
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02905
- Practice address
- 535 Centerville Rd Ste 101
Warwick, RI 02886-4376 - Phone
- (401) 737-6011
- NPI assigned
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400090284 | VT | |
| Physical Therapist | 225100000X | 2305206947 | VA | |
| Physical Therapist | 225100000X | 3680 | NH | |
| Physical Therapist | 225100000X | PT02905 | RI | Primary |
Addresses
Primary practice location
535 Centerville Rd Ste 101
Warwick, RI 02886-4376
Mailing address
535 Centerville Rd Ste 101
Warwick, RI 02886-4376
Phone (401) 737-6011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
535 Centerville Rd
Suite 101
Warwick, RI 02886-4376
Phone (401) 737-4581
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT02905 | RI | MD | Physical Therapist |
| 2305206947 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Cioffredi & Associates Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Advanced Center for Physical Therapy, PLC | Past | Accepting new patients | |
| Phoenix Rehabilitation and Health Services of Virginia, LLC | Physical Therapist | Past | Accepting new patients |
Locations
3461 S County Trl
Ste 304
East Greenwich, RI 02818
Phone (401) 398-7988
52 Frenchtown Rd
North Kingstown, RI 02852
Phone (401) 519-5222
535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581
Organizations & group practices 4
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.
-
- Physical Therapist
- Warwick, RI
- NPI 1225123565
-
- Physical Therapy Clinic/Center
- Barboursville, VA
- NPI 1013169473
-
- Physical Therapist
- Lebanon, NH
- NPI 1821298126
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1336155845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1770879124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 CENTERVILLE RD STE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864376",
"telephone_number": "401-737-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 CENTERVILLE RD STE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864376",
"telephone_number": "401-737-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHNENSMITH",
"first_name": "MARK",
"middle_name": "REX",
"name_prefix": "Mr.",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "0400090284",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206947",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3680",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.