Active NPI
Nicole Marie Manigo Black, DPT
- Physical Therapist
- Greenville, NC
National Provider Identifier
1093668170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P24767
- Practice address
- 1540 E Arlington Blvd
Greenville, NC 27858-5870 - Phone
- (252) 364-2806
- Fax
- (252) 364-2863
- NPI assigned
- Feb 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P24767 | NC | Primary |
Addresses
Primary practice location
1540 E Arlington Blvd
Greenville, NC 27858-5870
Mailing address
1540 E Arlington Blvd
Greenville, NC 27858-5870
Phone (252) 364-2806
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 |
|---|---|---|---|
| P24767 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1093668170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 E ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585870",
"telephone_number": "252-364-2806",
"fax_number": "252-364-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 E ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585870",
"telephone_number": "252-364-2806",
"fax_number": "252-364-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "NICOLE",
"middle_name": "MARIE MANIGO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P24767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.