William Bruce Mannewitz II, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1147133 Issued in TX

Practice address

115 E Texas Blvd
Dalhart, TX 79022-4319

Phone

(806) 244-0015

Fax

(806) 244-0017

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093848186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 APACHE DR",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790225112",
            "telephone_number": "806-244-0940",
            "fax_number": "806-244-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E TEXAS BLVD",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224319",
            "telephone_number": "806-244-0015",
            "fax_number": "806-244-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNEWITZ",
        "first_name": "WILLIAM",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1147133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy M Kelso, M.S. CCC-SLP
• Kalynn Breitling Kulhavy, M.S., CCC-SLP
• Valerie Lang
• Barbara Elaine Ledbetter
• Pui Chun Lee, RD
• Aubrey Marsh, RD
• Jamie Sue Martin, APRN-CNM
• Matthew Turner MD PA
• Caroline Elise McBryde
• Ann Milam, MED

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.