Individual provider Active NPI

Aaron Joseph Mansur, PT, DPT

  • Physical Therapist
  • Soldotna, AK
National Provider Identifier
1790211407
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210789 Issued in VA
Practice address
35105 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7658
Phone
(907) 260-7444
Fax
(907) 260-7400
NPI assigned
May 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16743 NC
Physical Therapist 225100000X 8857 SC
Physical Therapist 225100000X 120724 AK
Physical Therapist 225100000X 2305210789 VA Primary

Addresses

Primary practice location

35105 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7658

Mailing address

381 Enfield Rd
Lincoln, ME 04457-4138
Phone (207) 290-0928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180731002736 SC Practitioner - Physical Therapist in Private Practice 5193073625 Reassigns benefits to 1 organization
I20230724002721 NY Practitioner - Physical Therapist in Private Practice 5193073625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen M Sarandrea Physical Therapy PLLCGroup PAC ID 8820167745, 9 clinicians

Practice addresses (Care Compare)

8200 Seneca Tpke
Clinton, NY 13323-1027
Phone (315) 738-1671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050187NYMDPharmacist
120724AKMDPhysical Therapist
16743NCMDPhysical Therapist
2305210789VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helen M Sarandrea Physical Therapy PLLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Elite Integrated Therapy Centers, LLC Physical Therapist CurrentSince Jul 9, 2018 Accepting new patients

Locations

8200 Seneca Tpke
Clinton, NY 13323
Phone (315) 738-1671

2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023

1007 Grove Rd
#A
Greenville, SC 29605

1007 Grove Rd
#C
Greenville, SC 29605

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1790211407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 ENFIELD RD",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574138",
            "telephone_number": "207-290-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35105 KENAI SPUR HWY STE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697658",
            "telephone_number": "907-260-7444",
            "fax_number": "907-260-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSUR",
        "first_name": "AARON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "16743",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8857",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "120724",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.