Crystal M Mansfield

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

072-0000034 Issued in VT

Practice address

56 Linden Street
C/O Physical Therapy Services of Brattleboro Inc
Brattleboro, VT 05301

Phone

(802) 254-4699

Fax

(802) 257-1985

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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 Therapy Services of Brattleboro Inc

  • Rehabilitation Practitioner
  • Brattleboro, VT
  • NPI 1649260878
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801808951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LINDEN STREET",
            "address_2": "C/O PHYSICAL THERAPY SERVICES OF BRATTLEBORO INC",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301",
            "telephone_number": "802-254-4699",
            "fax_number": "802-257-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LINDEN STREET",
            "address_2": "C/O PHYSICAL THERAPY SERVICES OF BRATTLEBORO INC",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301",
            "telephone_number": "802-254-4699",
            "fax_number": "802-257-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "072-0000034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009942",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00029512",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Macor, PSYD
• Tracey S Madigan, LCSW
• Madilynn Rutherford, PHD PLLC
• Emily C Maiella, ND
• Janice Malin, JANICE MALIN LICSW
• Maplewood Family Practice, P.C.
• Cynthia Lynn Marble, MA, LCMHC, LADC
• Raymond Leo Mariani, DPM
• Gregoria Marrero, M.D.
• Ashley Brooke Marshall, RD

• Occupational Therapist in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Occupational Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.