DAVID J MANCUSO (NPI# 1053974063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053974063 |
| Entity Type | Individual |
| Full Name | DAVID J MANCUSO |
| Credential | LMT |
| Practice Address |
4602 Eastpark Blvd Madison WI 53718-2002 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082629355 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 14162 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184061327 | David Mancuso | Social Worker | 131 French King Highway, Work, Greenfield, MA 01301 | 2013-05-29 |
| 1477858173 | David B Mancuso | Pharmacist | 4170 Nw 50th Dr Apt 5108, Gainesville, FL 32606-4588 | 2011-01-11 |
| 1962608620 | David Mancuso | Physical Therapist | 75 Kings Hwy E Fl 4, Fairfield, CT 06825-4823 | 2007-06-21 |
| 1528110988 | David A Mancuso | Counselor | 1402 Genesee St, Utica, NY 13502-4727 | 2007-01-17 |
| 1952413668 | David A Mancuso | Chiropractor | 18205 N 51st Ave, Suite 113, Glendale, AZ 85308-1490 | 2006-08-31 |
| Street Address |
4602 EASTPARK BLVD |
| City | MADISON |
| State | WI |
| Zip Code | 53718-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619944238 | Douglas B Chapman | Internal Medicine | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2006-03-02 |
| 1790383321 | Kelli M Notaro | Nurse Practitioner | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-10-15 |
| 1346865581 | Bethany A. Meyering | Anesthesiologist Assistant | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-06-13 |
| 1831713726 | Rachael Makamae Maguire | Physical Therapist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-06-05 |
| 1619590726 | Amanda S. Phillips | Psychologist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-05-22 |
| 1699301143 | Stephanie Chang | Pharmacist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2020-03-17 |
| 1154967123 | Bailey Elizabeth Higby | Nurse Practitioner | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-11-25 |
| 1538716725 | Jessica Lynn Flood | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-22 |
| 1619524071 | Ella Cait Husom | Specialist/Technologist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-21 |
| 1386296853 | Olivia Rowland | Physical Therapist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
| 1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
| 1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
| 1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
| 1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
| 1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
| 1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
| Find all providers in zip 53718 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124376 | Maria Victoria Gutierrez | Massage Therapist | 2702 Monroe St Ste 110, Madison, WI 53711-1896 | 2020-08-11 |
| 1083222772 | Athena L Little | Massage Therapist | 1871 Slaughter Rd Ste J, Madison, AL 35758-8631 | 2020-07-19 |
| 1346879582 | Devon Anne Dopfel | Massage Therapist | 170 Boston Post Rd Unit 3, Madison, CT 06443-2166 | 2020-04-08 |
| 1497386270 | Joe Orosco | Massage Therapist | 1930 Monroe St Ste 368, Madison, WI 53711-2059 | 2020-01-30 |
| 1407322480 | Gretchen Rose Brown | Massage Therapist | 301 S Bedford St # 4, Madison, WI 53703-3691 | 2018-10-17 |
| 1710461223 | Lamonica P Starks | Massage Therapist | 118 Weisenberger Rd Ste 200, Madison, MS 39110-5012 | 2018-09-20 |
| 1619450517 | Daniel French | Massage Therapist | 1040 N High Point Rd Apt 213, Madison, WI 53717-2812 | 2018-09-07 |
| 1225515489 | Kaitlin Chelsea Mcculley | Massage Therapist | 6417 Odana Rd Ste 25, Madison, WI 53719-1159 | 2018-07-20 |
| 1326571571 | Laurie Zbock | Massage Therapist | 7320 Route 20, Madison, NY 13402 | 2017-04-05 |
| 1407307671 | Kristanne Noelle Stone | Massage Therapist | 1 Maple Wood Ln Unit 303, Madison, WI 53704-3971 | 2016-10-21 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.