Dana E Mandel, PT, PCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009347-1 Issued in NY

Practice address

Mandel Therapy Group
8842 State Rout 90
King Ferry, NY 13081

Phone

(315) 364-7570

Fax

(315) 364-8016

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

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.

• Dana E. Mandel PT

  • Physical Therapist
  • King Ferry, NY
  • NPI 1972611747
  NPD (past) Authorized official
• Mandel Therapy Group

  • Speech-Language Pathologist
  • King Ferry, NY
  • NPI 1528294246
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1831225846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8842 STATE ROUTE 90 N",
            "city": "KING FERRY",
            "state": "NY",
            "postal_code": "130818723",
            "telephone_number": "315-364-7570",
            "fax_number": "315-364-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANDEL THERAPY GROUP",
            "address_2": "8842 STATE ROUT 90",
            "city": "KING FERRY",
            "state": "NY",
            "postal_code": "13081",
            "telephone_number": "315-364-7570",
            "fax_number": "315-364-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "DANA",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PT, PCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009347-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID#",
            "identifier": "11226092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Libby Danielle Kershner, OTR
• Thomas J Laclair, OTR
• Lifespan PT OT &SLP Services PLLC
• Kirsta R Malone, OTR
• Mandel Therapy Group
• Amber Lee Martin, OTR/L
• Margaret Martin, PT
• Anne Mills
• Jennifer Monks, OTR/L
• Hope G Murray, OTR

• All providers in King Ferry, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.