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THOMAS MANDALA PT, DPT, SCS, CSCS
NPI 1376022590
Physical Therapist - Sports in New York, NY

Active since August 08, 2018
535 E 70TH ST., NEW YORK, NY 10021(212) 606-1005 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2021, May 28, 2020, Aug 8, 2018 (3 updates tracked since 2018).

About Thomas Mandala Pt, Dpt, Scs, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS MANDALA PT, DPT, SCS, CSCS (NPI 1376022590) is an individual sports provider in New York, New York, licensed in New York (044279) and active in the NPI registry since August 2018. He maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1376022590
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameTHOMAS MANDALACredential: PT, DPT, SCS, CSCS
Location Address535 E 70TH ST.New York, NY 10021
Mailing Address535 E 70th St.New York, NY 10021 · (212) 606-1005
Phone(212) 606-1005
Sole ProprietorNo
Enumeration DateAugust 8, 2018
Last NPPES UpdateApril 13, 20213 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1376022590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in NY · 044279
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical TherapistTaxonomy 225100000X · License J1-0003957 (DE)
535 E 70TH ST., New York, NY 10021
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Secondary Practice Location 1

Location 1540 S College Ave Ste 160Newark, DE 19713-1302 · Phone (302) 831-8893 · Fax (302) 831-4468

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOHAM GHOSHAL
Student in an Organized Health Care Education/Training Program
535 E 70TH ST.
NEW YORK, NY 10021
New York County (212) 606-1000
MR. JOHNNY TAM RPA-C
Physician Assistant
535 E 70TH ST.
NEW YORK, NY 10021
New York County (646) 797-8743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Mandala's NPI number?

The NPI number for Thomas Mandala is 1376022590. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Thomas Mandala located?

Thomas Mandala practices at 535 E 70th St., New York, NY 10021. The listed phone number is (212) 606-1005.

What is Thomas Mandala's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Thomas Mandala was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.