Jennifer Lynn Mandros, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1379 Issued in WY

Practice address

2665 E 2ND St
Casper, WY 82609-2045

Phone

(307) 761-0040

NPI assigned

Jul 21, 2011

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 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

307 Physical TherapyGroup PAC ID 1759638596, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 307 Physical Therapy

  • Physical Therapist
  • Casper, WY
  • NPI 1851880496
  Medicare reassignment Care Compare group NPD
• Northplatte Physical Therpy Services Inc

  • Physical Therapist
  • Casper, WY
  • NPI 1336190230
  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1821386046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 E. 2ND STREET",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092045",
            "telephone_number": "307-761-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2665 E. 2nd Street",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "82609",
            "country_code": "US",
            "telephone_number": "307-761-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDROS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT1379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821386046",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Dempsey Malone III, DO
• Paul D Malsom, PHYSICIAN ASSISTANT
• Sara E Malsom, PA-C
• Steven L. Malson, PHARMD, RPH
• Kelsey L Mammen, PPC
• William Martin Manker III
• Pam Mann
• Jessica Jean Marcotte, RN
• John Robert Marquiss, MSSA
• Martens Chiropractic LLC

• Physical Therapist in Casper, WY
• Providers in Casper, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.