Jeanine Maniscalco Kichura, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0130674 Issued in VT

Practice address

3 Champlain CMNS Ste 1
Saint Albans, VT 05478-1563

Phone

(802) 524-1155

NPI assigned

May 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 names 1

• Dr. Jeanine Frances Maniscalco Former name

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.

• Rush-Select Holdings, LLC

  • Physical Therapy Clinic/Center
  • Granger, IN
  • NPI 1295465003
  NPD (past)

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1972039147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "HUNTER",
            "state": "NY",
            "postal_code": "124420564",
            "telephone_number": "518-965-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHAMPLAIN CMNS STE 1",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781563",
            "telephone_number": "802-524-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICHURA",
        "first_name": "JEANINE",
        "middle_name": "MANISCALCO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0130674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "MANISCALCO",
            "middle_name": "FRANCES",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheri Ann Keith, BCBA
• Michael T Kennedy, MD
• Anne Elizabeth Kenny, PT
• Sarah Kenny
• Rajvinder Khela, M.D.
• Candie Killackey, LICSW
• Bridget L King, OT
• Casara J King
• Christopher Michael King
• Kevin J King

• Physical Therapist in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.