Julia Rose Manczurowsky, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61500 Issued in OR

Practice address

11808 Grant St
Suite 100
Omaha, NE 68164-3613

Phone

(877) 230-3885

Fax

(402) 505-9753

NPI assigned

Sep 25, 2015

Sex

Female

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

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1861862476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WHITNEY LN",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015681514",
            "telephone_number": "508-320-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 GRANT ST",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643613",
            "telephone_number": "877-230-3885",
            "fax_number": "402-505-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCZUROWSKY",
        "first_name": "JULIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT43083",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Lynn Mancuso-Oldehoeft, MPT.
• Benjamin James Mancuso, D.D.S.
• Gerald John Mancuso, D.D.S.
• Kerry Catherine Mancuso, APRN
• Martin M Mancuso, MD
• Anayelem Mandao II
• Sai Mandava, MD
• John Mandela
• Nelson Mecaly Mandella, PHARMD
• Louis Manders

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.