Mary Lynn Manduca, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24003 Issued in MA

Practice address

29 Hudson Rd
Sudbury, MA 01776-1757

Phone

(978) 579-0009

Fax

(978) 579-0018

NPI assigned

Jan 11, 2019

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 MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Achieve Physical Therapy LLCGroup PAC ID 0042392052, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Achieve Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Acton, MA
  • NPI 1922297886

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Achieve Physical Therapy, PC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1790778983
  NPD (past)

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1851865950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASS AVE STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HUDSON RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761757",
            "telephone_number": "978-579-0009",
            "fax_number": "978-579-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Mass Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017203739",
            "country_code": "US",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDUCA",
        "first_name": "MARY LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Madonna-Lendvai, DPT
• Danielle Kayla Magno
• Robert Maier, DC
• Monica Maldonado
• Cynthia L. Malia, LICSW
• Kenneth David Manning, PH.D.
• Marengi Dental LLC
• Lilla Martell, RLE, RME, CLT
• Elisabeth Sterling Massina, MSW, LMSW
• Maura Matarse

• Physical Therapist in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.