MARK MANFREDI (PT) – Physical Therapist, NPI 1891768198

MARK MANFREDI (PT) is a healthcare provider. based in Tewksbury, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4577 (MA). The NPI Number for MARK MANFREDI (PT) is 1891768198

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MARK MANFREDI (PT)
NPI
1891768198
Phone
(978) 452-3453
Address
600 CLARK RD
Enumeration Date
8 February 2006
Last Update Date
6 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784523453
Graduation Year
1980 (46 years ago)
PAC ID
0547174146
Group Practice PAC ID
8022922624
Professional Enrollment ID
I20111125000002
Address ID
MA018761699TE600XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

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Provider Addresses for MARK MANFREDI (PT)

  • 600, Clark Road, Wamesit, Tewksbury, Middlesex County, Massachusetts, 01852, United States

    TEWKSBURY, MA 01876

    Phone: (978) 452-3453

    Fax: (978) 452-2652

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111125000002IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,33696$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes834120$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes41355$0
97530Therapy procedure using functional activities11119$0
97116Therapy procedure for walking training, each 15 minutes6522$0
View full utilization report →

Insurance plans in this area (ZIP 01876)

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Provider's Procedures

MARK MANFREDI (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMA97001Physical therapy evaluation5451
PHYSICAL THERAPYMA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes119475
PHYSICAL THERAPYMA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes40444

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022922624View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Can I verify MARK MANFREDI (PT) with an NPI only?
You can start verification with NPI 1891768198 for MARK MANFREDI (PT), then check state licensing separately.
Can I rely on MARK MANFREDI (PT) being an active provider?
As of the registry snapshot, MARK MANFREDI (PT) is marked active.
What is MARK MANFREDI (PT) best known for clinically?
Directory data describes MARK MANFREDI (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect MARK MANFREDI (PT) on a map?
Expect Tewksbury, Massachusetts as a primary anchor for MARK MANFREDI (PT) unless the record lists multiple sites.
Is the information about MARK MANFREDI (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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