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

Mia Marie Mancuso, PTA

Individual provider Physical Therapy Assistant · NPI 1194336958

Mia Marie Mancuso, PTA is a Physical Therapy Assistant in Scranton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2500 Adams Ave
Scranton, PA 18509-1515
Phone: (570) 343-4065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TEI004330 (PA)

Record details

NPI number1194336958
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

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