Mary Ann Maneja, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1266499 Issued in TX

Practice address

1101 E Arbrook Blvd
Arlington, TX 76014-3342

Phone

(817) 617-4422

Fax

(817) 617-4423

NPI assigned

Oct 5, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Georgetown, TX
  • NPI 1952531154
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1053781831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E ARBROOK BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143342",
            "telephone_number": "817-617-4422",
            "fax_number": "817-617-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E ARBROOK BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143342",
            "telephone_number": "817-617-4422",
            "fax_number": "817-617-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEJA",
        "first_name": "MARY ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1266499",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "05199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1266499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Mammen, MD
• Managed Specialty Care, LLC
• Elnora Manahan-Lehman, MS CCC/SLP
• Kellie Manderfeld, LPC
• Anvitha Manduva, MD
• Navjot Mangat, PHARMD
• Nyangok Mangong
• Simi Mani, BDS, MPH, MS
• Jaya Surya Manimekalai Krishnamurthi
• Poonam Vasant Mankar, PT

• Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.