Active NPI
Carley Maanika, DPT, PT, ATC, AT
- Physical Therapist
- Ishpeming, MI
National Provider Identifier
1053704205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019143
- Practice address
- 901 Lakeshore Dr
Ishpeming, MI 49849-1367 - Phone
- (906) 485-2261
- NPI assigned
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 5501019143 | MI | Primary |
Addresses
Primary practice location
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Mailing address
220 Stoneville Rd
Ishpeming, MI 49849-2916
Other practice location 1
220 Stoneville Rd
Ishpeming, MI 49849-2916
Phone (906) 236-2657
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carley.maanika@lifepointhealth.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019143 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1053704205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STONEVILLE RD",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498492916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 LAKESHORE DR",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498491367",
"telephone_number": "906-485-2261"
}
],
"practiceLocations": [
{
"address_1": "220 Stoneville Rd",
"address_purpose": "LOCATION",
"city": "Ishpeming",
"state": "MI",
"postal_code": "498492916",
"country_code": "US",
"telephone_number": "906-236-2657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAANIKA",
"first_name": "CARLEY",
"credential": "DPT, PT, ATC, AT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019143",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carley.maanika@lifepointhealth.net",
"affiliation": "N",
"endpointDescription": "Work Email",
"address_1": "901 Lakeshore Dr",
"city": "Ishpeming",
"state": "MI",
"country_code": "US",
"postal_code": "498491367",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ishpeming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.