Mangiarelli Rehabilitation of Georgia LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MANGIARELLI REHABILITATION OF GEORGIA LLC

Practice address

2700 Braselton Hwy Ste 10-206
Dacula, GA 30019-3262

Phone

(330) 984-7799

NPI assigned

Mar 29, 2025

Last updated

Apr 19, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

MANGIARELLI REHABILITATION, LLCAs reported in NPPES

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

Authorized official

Name

Michael James Mangiarelli, DPTNPI 1922521228

Title

Doctor of Physical Therapy

Phone

(330) 984-7799

Specialties & licenses 1

Addresses

Part of

Mangiarelli Rehabilitation

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael James Mangiarelli, PT, DPT

  • Physical Therapist
  • Suwanee, GA
  • NPI 1922521228
  NPD Authorized official

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745020800000",
    "number": "1912700576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BRASELTON HWY STE 10-206",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BRASELTON HWY STE 10-206",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193262",
            "telephone_number": "330-984-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGIARELLI REHABILITATION OF GEORGIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANGIARELLI REHABILITATION, LLC",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A",
        "authorized_official_last_name": "MANGIARELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "330-984-7799",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirela Makarevic
• Charles Greg Malone
• Michelle Malvo
• Manga Health Consultants, Dba / Regional (Regional Home Care Services)
• Ebot B Manga
• Makayla Forrest Mangram, ATC
• Alicia Manley, MED, CCC-SLP
• Cory Kane Mansour, M.D.
• Stephanie L Marie, RBT
• Daniel Mariney, LPC

• Physical Therapy Clinic/Center in Dacula, GA
• Providers in Dacula, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.