| Mr Michael J Mangini Jr, PT | |
|
99 S Canaan Rd, Canaan, CT 06018 | |
| (860) 824-3820 | |
| (860) 824-5462 |
| Full Name | Mr Michael J Mangini Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 99 S Canaan Rd, Canaan, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063502938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4286 (Connecticut) | Primary |
| Provider Name | Robert C Geer Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518060110 PECOS PAC ID: 1951489202 Enrollment ID: O20111209000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael J Mangini Jr, PT 99 S Canaan Rd, Canaan, CT 06018 Ph: (860) 824-3820 | Mr Michael J Mangini Jr, PT 99 S Canaan Rd, Canaan, CT 06018 Ph: (860) 824-3820 |
Ms. Joyce M Kost, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Mountain View Ln, Canaan, CT 06018 Phone: 860-824-1066 | |
Mrs. Jane Erin Simonds, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 99 South Canaan Road, Canaan, CT 06018 Phone: 860-824-3820 Fax: 860-824-5462 | |
Susan Saya, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 S Canaan Rd, Canaan, CT 06018 Phone: 860-824-5137 | |
Karen Browning, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 99 South Canaan Rd, Canaan, CT 06018 Phone: 860-824-3820 | |
Patricia Mcallister, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 S Canaan Rd, Canaan, CT 06018 Phone: 860-824-2600 | |
Lobna Elsarafy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 S Canaan Rd, Canaan, CT 06018 Phone: 860-824-3844 |