ANTHONY ROBERT MANCINI (PT) – Physical Therapist, NPI 1124433891

ANTHONY ROBERT MANCINI (PT) is a healthcare provider. based in Ooltewah, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. CP014405T (KY). The NPI Number for ANTHONY ROBERT MANCINI (PT) is 1124433891

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY ROBERT MANCINI (PT)
NPI
1124433891
Phone
(423) 238-7217
Address
8823 PRODUCTION LN
Enumeration Date
21 June 2014
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4238251393
Graduation Year
2014 (12 years ago)
PAC ID
1759509797
Group Practice PAC ID
9335056308
Professional Enrollment ID
I20140904000960
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

Provider Addresses for ANTHONY ROBERT MANCINI (PT)

  • 8823 PRODUCTION LN

    OOLTEWAH, TN 373636511

    Phone: (423) 238-7217

    Fax: (423) 954-7408

    Type: Mailing

  • 311 CONGRESS PKWY N

    STE 800

    ATHENS, TN 373031699

    Phone: (423) 744-3555

    Fax: (423) 744-0849

    Type: Location

  • 311 Congress Pkwy N

    Ste 800

    Athens, TN 373031699

    Phone: (423) 744-3555

    Fax: (423) 744-0849

    Type: Location

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 497-0005

    Fax: (423) 954-7408

    Type: Mailing

  • 861 FAIRVIEW AVE STE 102

    BOWLING GREEN, KY 421014991

    Phone: (270) 783-8438

    Type: Location

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: 2025-01-29

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
I20250129001587IPhysical Therapist In Private PracticeKYTBD

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

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37363)

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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: 9335056308View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANTHONY ROBERT MANCINI (PT)?
ANTHONY ROBERT MANCINI (PT) — NPI 1124433891 — is the standard way to identify this listing.
Does the file indicate ANTHONY ROBERT MANCINI (PT) is practicing under active NPI?
Directory data currently reports ANTHONY ROBERT MANCINI (PT) as active.
What is ANTHONY ROBERT MANCINI (PT)'s primary classification?
Physical Therapist is the headline specialty for ANTHONY ROBERT MANCINI (PT) here. Clinical services aligned with this taxonomy classification.
What area does ANTHONY ROBERT MANCINI (PT) serve?
ANTHONY ROBERT MANCINI (PT)'s listing highlights Ooltewah, Tennessee; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.