Matthew Colin Mandle, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT6458 Issued in ME

Practice address

11 Hospital Dr
Machias, ME 04654-3325

Phone

(207) 255-3356

NPI assigned

Mar 7, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801596994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TAUNTON DR",
            "city": "SULLIVAN",
            "state": "ME",
            "postal_code": "046643009",
            "telephone_number": "201-962-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HOSPITAL DR",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046543325",
            "telephone_number": "207-255-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDLE",
        "first_name": "MATTHEW",
        "middle_name": "COLIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ME",
            "license": "PT6458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Machias River Family Psychiatry
• Machias School Department
• Machiasport School Department
• Maine Veterans' Homes
• Christina Mallock, LSW-C
• Sandra Manship, APRN-CNP
• Marshall Healthcare
• Marshall Healthcare
• Marshalls Nursing Services
• Marshfield School Department

• Physical Medicine & Rehabilitation Physician in Machias, ME
• Providers in Machias, ME by specialty
• Physical Medicine & Rehabilitation Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.