Active NPI
Cruz Joseph Mannherz, DPT
- Physical Therapist
- Littlestown, PA
National Provider Identifier
1134552128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028929
- Practice address
- 790 W King St Ste 1
Littlestown, PA 17340-1457 - Phone
- (717) 359-1928
- Fax
- (717) 359-1929
- NPI assigned
- Aug 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24588 | MD | |
| Physical Therapist | 225100000X | PT028929 | PA | Primary |
Addresses
Primary practice location
790 W King St Ste 1
Littlestown, PA 17340-1457
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Other practice location 1
844 Washington Rd
Suite 101
Westminster, MD 21157-6664
Phone (410) 876-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frederick Health Hospital Inc
Practice addresses (Care Compare)
1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786
Phone (240) 215-6310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24588 | MD | MD | Mental Health Counselor |
| PT028929 | PA | MD | Physical Therapist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1134552128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 W KING ST STE 1",
"city": "LITTLESTOWN",
"state": "PA",
"postal_code": "173401457",
"telephone_number": "717-359-1928",
"fax_number": "717-359-1929"
}
],
"practiceLocations": [
{
"address_1": "844 Washington Rd",
"address_2": "SUITE 101",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211576664",
"country_code": "US",
"telephone_number": "410-876-5600",
"fax_number": "410-876-1623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANNHERZ",
"first_name": "CRUZ",
"middle_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-14",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24588",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littlestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.