Nicole Mante
Physical Therapy Assistant in Clifton Park, NY. Individual provider (NPI-1).
NPI number1053976597
StatusActive
Last updated in NPPESOct 3, 2020
Details
- NPI
- 1053976597
- Entity type
- Individual (NPI-1)
- Name
- Nicole Mante
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2019
- Certification date
- Oct 3, 2020
- Last updated
- Oct 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 28199 | FL | Yes |
Practice location
1 Abele DrClifton Park, NY 12065-2951
Phone 518-371-1400
Mailing address
1 Abele DrClifton Park, NY 12065-2951
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Clifton Park, NY
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