MEDICARE: NEW CONNECTIONS PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1659221026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CONNECTIONS PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	1800 MARTIN LUTHER KING PKWY STE 100
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3500
Country	:	US
Telephone Number	:	919-283-1055
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 MARTIN LUTHER KING PKWY STE 100
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3500
Country	:	US
Telephone Number	:	919-283-1055
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	LISA MANGINO
Credential	:	DPT
Telephone Number	:	919-225-7262

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/05/2026

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