Amanda Mangulabnan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00298400 Issued in NJ

Practice address

901 W Main St
Freehold, NJ 07728-2537

Phone

(732) 294-2700

Fax

(732) 294-2568

NPI assigned

Dec 28, 2018

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 names 1

• Amanda Cash Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1851863047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 GREGORY DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236207",
            "telephone_number": "848-459-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2700",
            "fax_number": "732-294-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGULABNAN",
        "first_name": "AMANDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00298400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CASH",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stanley M Mandel, ED.D.
• Tiffany Mandeville
• Marissa Anne Manfre
• Martha M Manger, LPC
• Patricia Mangine
• Jamie Manno
• Michael Charles Manzo, MPT
• Aya Marachi, M.D.
• Melissa Rivera Marano, PSY.D.
• Kristen Marcantuono, OTR/L

• Physical Therapy Assistant in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.