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

Mandy Baniszewski

Individual provider Physical Therapist · NPI 1013590199

Mandy Baniszewski is a Physical Therapist in Southbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.

Licensed in
CT
In the registry since
2021

Practice location Address checks out

655 Main St S
Southbury, CT 06488-4220
Phone: (877) 407-3422
Fax: (877) 407-4329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12995 (CT)

Record details

NPI number1013590199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

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