Manaf Baddar

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6105 Issued in TN

Practice address

1650 Bonnie LN
Cordova, TN 38016-0516

Phone

(901) 756-2424

NPI assigned

Jul 30, 2024

Last updated

Jul 30, 2024By 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

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1124857065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BONNIE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BONNIE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160516",
            "telephone_number": "901-756-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADDAR",
        "first_name": "MANAF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Ayesh, RDN
• B C Johnson DDS PLLC
• B Der NMT Transportation LLC
• B'Nai B'Rith Home & Hospital for the Aged, Inc. (Memphis Jewish Home)
• Julie Bach, PHARMD
• Mary Cristine Bader
• Brianna D Bailey
• Matt Dane Baker, PHARMD
• Morgan Whitney Baker
• Jessica Ellen Balderson, M.A. CCC-SLP

• Physical Therapy Assistant in Cordova, TN
• Providers in Cordova, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.