Adio Mangrum

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19476 Issued in 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

Last updated

Jul 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mangrum Health Services LLC

  dba Mangrum Physical Therapy and Performance

  • Physical Therapist
  • Efland, NC
  • NPI 1902511736
  Medicare reassignment NPD Authorized official
• Fox Rehab PT NC LLC

  • Physical Therapist
  • Matthews, NC
  • NPI 1053199844
  Medicare reassignment NPD

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1871967232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 US HIGHWAY 70 W STE 102",
            "city": "EFLAND",
            "state": "NC",
            "postal_code": "272438466",
            "telephone_number": "919-792-4881",
            "fax_number": "877-339-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 US HIGHWAY 70 W STE 102",
            "city": "EFLAND",
            "state": "NC",
            "postal_code": "272438466",
            "telephone_number": "336-792-4881",
            "fax_number": "877-339-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGRUM",
        "first_name": "ADIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab PT NC LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2008 Moore Rd",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281054978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• J-1 Consultants
• Jordan Speech Services, PLLC
• Jennifer Jordan
• Christopher R. Low, LPA
• Mangrum Health Services LLC (Mangrum Physical Therapy and Performance)
• Norin Meadows, OTR/L
• Cara Maria Moore, RBT
• NC Coastal ABA
• Lori Oshrain, PH.D
• Piedmont Health Services, Inc. (Piedmont Gravelly Hill School Based Behavioral Health)

• Physical Therapist in Efland, NC
• Providers in Efland, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.