Active NPI 1053974063 Individual Practitioner Male Practitioner

David J Mancuso , LMT

Massage Therapist • Madison, WI

Professional Overview & Biography Verified Profile Summary

David Mancuso, LMT is a registered healthcare professional specializing in Massage Therapist in Madison, WI. Practice services are available at 4602 EASTPARK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4602 Eastpark Blvd

Madison, WI 537182002

Telephone 6082629355

Associated Practice Facility / Clinic

🏢 University Of Wisconsin Hospitals And Clinics Authority Facility NPI 1366823403

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Madison, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

64 Specialists

Practicing in Madison, WI (754 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WI 14162

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Colleen Bowman

Massage Therapist

NPI 1194484972

Dr. David Kiefer , MD

Family Medicine

NPI 1497810220

Doctor of Medicine (M.D.)

Tracy Krafcheck

Massage Therapist

NPI 1841959624

Steven Gloe

Massage Therapist

NPI 1851954960

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 16, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2019

Registered at 4602 EASTPARK BLVD, MADISON, WI 537182002 (Tel: 6082629355)

📍

Updated Business Mailing Address April 16, 2019

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

👤

Provider Name / Credentials Updated April 16, 2019

Recorded as DAVID MANCUSO, LMT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2019

Massage Therapist (License #14162 in WI)

🟢

Initial NPI Registration & Enumeration April 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053974063

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 16, 2019

Last Update: April 16, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7974 Uw Health Ct

Middleton, WI 535625531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.