| Mary Leen Mansfield, PT, DPT | |
|
7880 Alexander Promenade Pl Ste 100, Raleigh, NC 27617-1918 | |
| (919) 583-7223 | |
| Not Available |
| Full Name | Mary Leen Mansfield |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7880 Alexander Promenade Pl Ste 100, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184350886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-5465 (Hawaii) | Secondary |
| 225100000X | Physical Therapist | P22707 (North Carolina) | Primary |
| Provider Name | Jaco Rehab Honolulu Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265073878 PECOS PAC ID: 8527495092 Enrollment ID: O20200221001176 |
| Provider Name | Jaco Rehab Waikele Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629619234 PECOS PAC ID: 2769819804 Enrollment ID: O20200302000493 |
| Provider Name | Jaco Rehab Mililani Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700427325 PECOS PAC ID: 5991132847 Enrollment ID: O20200305001547 |
| Provider Name | Jaco Rehab Kapolei Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437790052 PECOS PAC ID: 6305275355 Enrollment ID: O20200326002830 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Leen Mansfield, PT, DPT 1177 Queen St Apt 4206, Honolulu, HI 96814-4150 Ph: (843) 991-6624 | Mary Leen Mansfield, PT, DPT 7880 Alexander Promenade Pl Ste 100, Raleigh, NC 27617-1918 Ph: (919) 583-7223 |
Nextcare Inc Sole Mbr Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4100 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-872-3403 Fax: 919-872-6066 | |
Ms. Megan Sean Hardisty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4201 Lake Boone Trail Suite 4, Raleigh, NC 27607 Phone: 919-968-3456 Fax: 919-932-3456 | |
Kimberly Briggs Mann, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5920 Sandy Forks Rd Ste 200, Raleigh, NC 27609 Phone: 919-954-3492 | |
Optimum Rehab & Sports Training, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6405 Westgate Rd, Suite 105, Raleigh, NC 27617 Phone: 919-508-6835 | |
Shawn Ryan Moody, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612 Phone: 919-788-8797 Fax: 919-788-8798 | |
Courtney Fletcher, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8300 Health Park, Suite 127, Raleigh, NC 27615 Phone: 919-854-6160 Fax: 919-854-6188 | |
Kaitlin Anne Meekins, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8470 Falls Of Neuse Rd, Suite 106, Raleigh, NC 27615 Phone: 919-803-0738 |