Jasyn M Mamantov, PHYSICAL THERAPIST is a
Physical Therapist based in Joshua, Texas. Jasyn M Mamantov is licensed to practice in Texas (license number 1136307) and his current practice location is
5600 Scott Ct, Joshua, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 709-8406.
NPI number for Jasyn M Mamantov is 1316578230 and his current mailing address is 5600 Scott Ct, Joshua, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316578230.
Healthcare Provider's Profile
Full Name | Jasyn M Mamantov |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 5600 Scott Ct, Joshua, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316578230
- Provider Enumeration Date: 01/29/2020
- Last Update Date: 01/29/2020
Medical Identifiers
Medical identifiers for Jasyn M Mamantov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316578230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1136307 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasyn M Mamantov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jasyn M Mamantov, PHYSICAL THERAPIST 5600 Scott Ct, Joshua, TX 76058-6026 Ph: (817) 709-8406 | Jasyn M Mamantov, PHYSICAL THERAPIST 5600 Scott Ct, Joshua, TX 76058-6026 Ph: (817) 709-8406 |
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