Dr. Nathan Alexander Mange, DPT
Physical Therapist, Sports in Newark, DE. Individual provider (NPI-1).
NPI number1669320693
StatusActive
Last updated in NPPESMar 17, 2026
Details
- NPI
- 1669320693
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nathan Alexander Mange
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2026
- Certification date
- Mar 17, 2026
- Last updated
- Mar 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- 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 |
|---|---|---|---|---|
| 2251S0007X | Physical Therapist, Sports | J1-0015167 | DE | Yes |
Other names
- Nate Mange (Other Name)
Practice location
540 S College Ave Ste 160Newark, DE 19713-1302
Phone 302-831-3000
Mailing address
8 Nairn LnBear, DE 19701-4752
Phone 908-914-7017
Is something wrong?
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 Sports Physical Therapist providers in Newark, DE
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