Salvatore Mancino, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01363400 Issued in NJ

Practice address

86 Thomas Johnson CT
Frederick, MD 21702-4348

Phone

(301) 694-8311

Fax

(301) 694-2714

NPI assigned

Aug 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Syracuse Physical Therapy Partners

  • Rehabilitation Practitioner
  • Seaford, DE
  • NPI 1558103929
  NPD

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1851607428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S SALISBURY BLVD",
            "address_2": "STE 1B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015458",
            "telephone_number": "410-831-3226",
            "fax_number": "410-677-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINO",
        "first_name": "SALVATORE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01363400",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jawad Malik, M.D.
• Muneeb S Malik, MD
• Jessie E. Mallalieu, P.A.-C.
• Hillary F. Mallette, LCSW-C
• Jade Anabella Manche
• Rachel I Mandel, MD
• Madilyn Mandich, DPT
• Ingrid Jones Manfredo, LCSW-C, LCADC
• Lauren A. Mangrum, M.S.CCC-SLP
• Mann & Henry Podiatry Services, LLC

• Physical Therapist in Frederick, MD
• Providers in Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.