Donna M Mammano, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01255600 Issued in NJ

Practice address

129 Newman St
Metuchen, NJ 08840-2641

Phone

(732) 662-1006

NPI assigned

Nov 5, 2008

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leading RehabilitationGroup PAC ID 5799076287, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Leading Rehabilitation

  • Clinic/Center
  • Metuchen, NJ
  • NPI 1619322013
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1811141708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NEWMAN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402641",
            "telephone_number": "732-662-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NEWMAN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402641",
            "telephone_number": "732-662-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMANO",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01255600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Mary Mackinnon, PSY.D.
• Anshika Madan
• Anil K Maheshwari, M.D.
• Doug Maleh
• Shalonda Malone
• Terese Jimenez Manalansan, M.A., CCC/SLP
• Margery Blau Manheim, PH.D
• Sonia Manjarres Galipo, LCSW
• Smitha Manoj, M.D
• Bonnie Markham, PHD, PSYD

• Physical Therapist in Metuchen, NJ
• Providers in Metuchen, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.