Vincent Mancuso, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00163R Issued in LA

Practice address

64519 Highway 41
Suite 7
Pearl River, LA 70452-3654

Phone

(985) 863-7500

Fax

(985) 643-2618

NPI assigned

Sep 27, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Access Rehabcare, LLC

  • Physical Therapist
  • Pearl River, LA
  • NPI 1588761712
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902997877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64519 HIGHWAY 41",
            "address_2": "SUITE 7",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523654",
            "telephone_number": "985-863-7500",
            "fax_number": "985-643-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64519 HIGHWAY 41",
            "address_2": "SUITE 7",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523654",
            "telephone_number": "985-863-7500",
            "fax_number": "985-643-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "VINCENT",
        "name_prefix": "Prof.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT00163R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Smith Lewis, RN
• Amanda Ryals Lobrano, ED.S
• Ruthie Anita Long, APRN
• Tonette Marie Mabrey, LMT LA 9071
• Kelsey Madere
• Miley Meds Pharmacy LLC
• Clarence Clinton Miley Jr., RPH.
• Suzonne McCrory Morales, LPC
• Jeffery W. Nave, PH.D., LPC, LMFT
• Breanna Jewell Newson, NP

• Physical Therapist in Pearl River, LA
• Providers in Pearl River, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.