Mandy Nader, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT291655 Issued in CA

Practice address

2951 Harbor Blvd
Costa Mesa, CA 92626-3912

Phone

(714) 427-0803

NPI assigned

Feb 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, ID2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pierce Physical Therapy and Sports Rehab LLCGroup PAC ID 6305106857, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pierce Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Meridian, ID
  • NPI 1578076519
  Medicare reassignment Care Compare group NPD
• Health Works Physical Therapy, Inc

  dba Costa Mesa Physical Therapy

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1659624930

  Physical Therapist

  Medicare reassignment NPD
• HW Physical Therapy

  dba Specialized Physical Therapy

  • Orthopedic Physical Therapist
  • Tustin, CA
  • NPI 1255829503
  Medicare reassignment NPD
• Specialized Physical Therapy, Apc

  • Physical Therapist
  • Tustin, CA
  • NPI 1346272093
  NPD
• Aspen Chiropractic, PC

  • Chiropractor
  • Meridian, ID
  • NPI 1205093408
  NPD (past)

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1912445891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 E CLIFFWAY DR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928696001",
            "telephone_number": "714-931-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "714-427-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADER",
        "first_name": "MANDY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT291655",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Portia Myers
• Kirsten Myhra
• NA Young Kim, D.D.S., Inc.
• Peter NA
• Edna Quiambao Nacion-Anderson, RN
• Taha Najafgholizadeh
• Stephany Najera
• Tony Najera
• Michael Steven Nakahara
• George Sumiya Nakai, MD

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.