Lucas Mann, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033497-1 Issued in NY

Practice address

3030 Clinton St
West Seneca, NY 14224-1373

Phone

(716) 824-0104

Fax

(716) 824-0104

NPI assigned

Jul 23, 2012

Last updated

Jul 23, 2012By the provider in NPPES

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Full Spectrum Occupational Therapy

  • Occupational Therapist
  • Ithaca, NY
  • NPI 1750959904

  Physical Therapist

  NPD
• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Physical Therapist
  • East Greenbush, NY
  • NPI 1336185263
  NPD (past)
• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Troy, NY
  • NPI 1568059665
  NPD (past)

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1972858389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CLINTON ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241373",
            "telephone_number": "716-824-0104",
            "fax_number": "716-824-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "LUCAS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033497-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Maliszewski
• Bonnie Ann Maltby
• Melvin Serrano Mangulabnan, MD
• Natalie Christine Mangusing
• Philip A Maniscalco
• Marcy Manning, PTA
• Michelle Jeanne Manning
• Thomas William Mannion, RPH
• Kevin Scott Manzella, DDS, MS
• Janeen Marchitte, LPN

• Physical Therapist in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.