Individual provider Active NPI

Matthew Robert Manzi, DPT

  • Orthopedic Physical Therapist
  • Salinas, CA
National Provider Identifier
1073751145
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
301136 Issued in CA
Practice address
1586 Constitution Blvd
Salinas, CA 93905-3803
Phone
(831) 582-6501
NPI assigned
Jan 28, 2009
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22818 MD
Orthopedic Physical Therapist 2251X0800X 301136 CA Primary

Addresses

Primary practice location

1586 Constitution Blvd
Salinas, CA 93905-3803

Mailing address

29 Cutler Rd
Swan Lake, NY 12783-5809
Phone (607) 227-0992

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
033177NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Physical Therapist CurrentSince Jul 21, 2024 Accepting new patients

Locations

260 North St
Newburgh, NY 12550
Phone (845) 565-5054

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1073751145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CUTLER RD",
            "city": "SWAN LAKE",
            "state": "NY",
            "postal_code": "127835809",
            "telephone_number": "607-227-0992",
            "fax_number": "845-565-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 CONSTITUTION BLVD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939053803",
            "telephone_number": "831-582-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZI",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22818",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "301136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.