Jared Michael Manhold

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1783 Issued in NE

Practice address

1005 N 8TH St
Loup City, NE 68853-8215

Phone

(402) 440-1410

NPI assigned

Dec 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1073273595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 TIPPERARY TRL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N 8TH ST",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688538215",
            "telephone_number": "402-440-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANHOLD",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Krolikowski, M.S.
• Samantha Kay Kusek, RN
• Loup City Health Care Inc (Rose Lane Home)
• Loup City RX Shoppe Inc (Loup City Rx Shoppe)
• Loup City, Ashton & Rockville Cooperative Ambulance Service (Loup City Coop Ambulance)
• Lacie McGee
• Micheal Miles Pop, L.M.H.P.
• Roger C. MC Cartney, O.D.,and Brandon a. Blair, O.D.,P.C. (Professional Eyecare)
• Jessica Lynn Rozmiarek, RN
• School District 15 County of Sherman

• Physical Therapy Assistant in Loup City, NE
• Providers in Loup City, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.