IndividualActive
Jack Mantione, DPT, CSCS
NPI 1508031360 · Orthopedic Physical Therapist · New York, NY
Provider details
- NPI number
- 1508031360
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 023347-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 E 61st St
New York, NY 10065-8514
Phone: (212) 867-1777
Fax: (212) 371-2079
Street-level locationGet directions
Mailing address
112 E 61st St
New York, NY 10065-8514
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2009-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.