Adio Mangrum
Individual provider Active NPI Physical Therapist · Efland, NC
NPI 1871967232 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1871967232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P19476 (NC)
- Practice address
- 3419 US Highway 70 W Ste 102
Efland, NC 27243-8466 - Phone
- (336) 792-4881
- Fax
- (877) 339-9413
- NPI assigned
- Nov 23, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 N 4TH St
Mebane, NC 27302-2429
Phone (336) 380-4480
3419 US Hwy 70 W
Unit 104
Efland, NC 27243-8410
Phone (336) 380-4480
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807003134 | NC | Practitioner - Physical Therapist in Private Practice | 3779944723 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19476 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT NC LLC | Physical Therapist | Current |
Accepting new patients |
| Mangrum Health Services LLC | Physical Therapist | Current |
Accepting new patients |
Locations
3419 US Highway 70 W
Ste 102
Efland, NC 27243
Phone (336) 792-4881
2008 Moore Rd
Matthews, NC 28105
201 N Fourth St
Mebane, NC 27302
Phone (336) 380-4480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P19476 | NC | Yes |
Addresses
Primary practice location
3419 US Highway 70 W Ste 102
Efland, NC 27243-8466
Mailing address
3419 US Highway 70 W Ste 102
Efland, NC 27243-8466
Phone (919) 792-4881
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT NC LLC |
Other providers in Efland, NC
- J-1 Consultants
- Jordan Speech Services, PLLC
- Jennifer Jordan
- Christopher R. Low
- Mangrum Health Services LLC
- Norin Meadows
- Cara Maria Moore
- NC Coastal ABA
- Lori Oshrain
- Piedmont Health Services, Inc.
All providers in Efland, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.