Mark Joseph Mangine, DPT | |
6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | |
(651) 459-9686 | |
(651) 459-2730 |
Full Name | Mark Joseph Mangine |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841420882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8355 (Minnesota) | Primary |
Provider Name | Infinite Health Collaborative Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
Provider Name | Viverant Pt Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346553179 PECOS PAC ID: 9931529385 Enrollment ID: O20201023000861 |
Mailing Address | Practice Location Address |
---|---|
Mark Joseph Mangine, DPT 300 Catlin St Ste 100, Buffalo, MN 55313-2035 Ph: (763) 682-2202 | Mark Joseph Mangine, DPT 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 Ph: (651) 459-9686 |
Amy S Albers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8811 92nd St S Ste 101, Cottage Grove, MN 55016 Phone: 651-458-9446 | |
Hannah Lynn Stackpool, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8811 92nd St S Ste 101, Cottage Grove, MN 55016 Phone: 512-413-7776 | |
Alyssa Burns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8811 92nd St S Ste 101, Cottage Grove, MN 55016 Phone: 651-241-3777 Fax: 651-241-3778 | |
Dr. Megan Rae Nelson, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7750 Harkness Ave S Ste 109, Cottage Grove, MN 55016 Phone: 952-835-4512 Fax: 888-425-0398 | |
Anne Elizabeth Frazier, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 Phone: 651-459-2730 | |
Thomas Stork, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7155 80th St S, Ste 140, Cottage Grove, MN 55016 Phone: 651-459-9686 | |
Lindsey Patricia Olsen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8811 92nd St S, Cottage Grove, MN 55016 Phone: 651-241-3777 |