Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jasyn M Mamantov, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1316578230

Jasyn M Mamantov, PHYSICALTHERAPIST is a Physical Therapist in Joshua, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
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Practice location Address checks out

5600 Scott Ct
Joshua, TX 76058-6026
Phone: (817) 709-8406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1136307 (TX)

Record details

NPI number1316578230
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJanuary 29, 2020
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

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