Jessie M Maniscalco, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24210 Issued in MA

Practice address

168 Industrial Dr
Mashpee, MA 02649-3561

Phone

(508) 477-4800

Fax

(508) 477-5377

NPI assigned

Oct 10, 2017

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 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.

• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment Care Compare group NPD
• Carroll Physical Therapy

  • Physical Therapist
  • Mashpee, MA
  • NPI 1750335071
  Medicare reassignment NPD
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Franklin, MA
  • NPI 1821108549
  NPD
• Cheshire Fitness Zone, LLC

  • Pediatric Physical Therapist
  • Cheshire, CT
  • NPI 1205961547

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1861902363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 INDUSTRIAL DR",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493561",
            "telephone_number": "508-477-4800",
            "fax_number": "508-477-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 INDUSTRIAL DR",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493561",
            "telephone_number": "508-477-4800",
            "fax_number": "508-477-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "JESSIE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CT",
            "license": "11611",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Riley Mahoney, PT
• Charles D Malis, M.D.
• Sarah Maloney
• John Francis Mancini, DDS
• Beth A Manhardt, LICSW
• Lewis Mantel, M.D.
• Madeline Marasa
• Mary Katherine Marcellus, CNP
• Mark Amster Derm
• Mark S. Amster MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.