Active NPI
Manual Therapy Specialists, LLC
- Orthopedic Physical Therapist
- Chesterfield, MO
National Provider Identifier
1073753232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- MANUAL THERAPY SPECIALISTS, LLC
- Practice address
- 17300 N Outer 40
Suite 205
Chesterfield, MO 63005-1364 - Phone
- (636) 728-1777
- Fax
- (636) 728-1793
- NPI assigned
- Mar 2, 2009
- Last updated
- Mar 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Justin Gorman, PT, MOMT
- Title
- Owner/Physical Therapist
- Phone
- (636) 728-1777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
17300 N Outer 40
Suite 205
Chesterfield, MO 63005-1364
Mailing address
17300 N Outer 40
Suite 205
Chesterfield, MO 63005-1364
Phone (636) 728-1777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Chesterfield, MO
- NPI 1790718930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235952000000",
"number": "1073753232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17300 N OUTER 40",
"address_2": "SUITE 205",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051364",
"telephone_number": "636-728-1777",
"fax_number": "636-728-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17300 N OUTER 40",
"address_2": "SUITE 205",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051364",
"telephone_number": "636-728-1777",
"fax_number": "636-728-1793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUAL THERAPY SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A",
"authorized_official_last_name": "GORMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "636-728-1777",
"authorized_official_credential": "PT, MOMT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
- Keith Mankowitz, MD
- Nicole Manlin, ANP
- Katrina Joan Mann, MS, RD, CDCES
- Suvidha Manne, MD
- Lisa Marie Mantia, FNP, BC
- Tanisha Marangattu Abraham
- Marathon Health, LLC (Marathon Health- Chesterfield MO- Woodlake Dr)
- Marc R. Sattovia (Chesterfield Dental Assoc. Inc)
- Jose A Marchosky, M.D.
- Matthew Anthony Marino, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.