Abigail Mandrell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09640 Issued in LA

Practice address

1200 S Farmerville St
Ruston, LA 71270-5941

Phone

(318) 255-3690

Fax

(318) 251-6116

NPI assigned

May 18, 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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Clinic LLCGroup PAC ID 4789668831, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.51 of 100Reported as apm

Quality

60.04

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71614

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.

• Green Clinic LLC

  • Physical Therapy Clinic/Center
  • Ruston, LA
  • NPI 1891801601
  Medicare reassignment Care Compare group NPD
• Danni Jones Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Ruston, LA
  • NPI 1215070982

  Physical Therapist

  Medicare reassignment NPD
• Green Clinic LLC

  • Rural Health Clinic/Center
  • Ruston, LA
  • NPI 1578021093
  NPD
• Danni Jones Physical Therapy

  • Specialist
  • Ruston, LA
  • NPI 1104006667
  NPD (past)

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972030120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705941",
            "telephone_number": "318-255-3690",
            "fax_number": "318-251-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705941",
            "telephone_number": "318-255-3690",
            "fax_number": "318-251-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDRELL",
        "first_name": "ABIGAIL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Renee Madix, M.A., CCC-SLP
• Steven Glen Madix, PH.D., CCC-A-SLP
• Stan H Mahaffey, LPC, LMFT, NCC
• Shaterrica Denae Maloney, LPC
• Jesse Mamon
• Joshua Caleb Mandrell, M.D.
• Brandy Manning
• Pranathi Maramraj
• Gene Jose Mariano, P. T.
• Marie'S Medical Supply, Inc

• Physical Therapist in Ruston, LA
• Providers in Ruston, 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 21, 2022; 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.