Regina M Manion, REGINA MANION

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9225A Issued in AZ

Practice address

4750 N Central Ave
Apt. 11C
Phoenix, AZ 85012-1732

Phone

(602) 264-4159

NPI assigned

Sep 23, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Regina M Fanelli Former name

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": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1154604429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N CENTRAL AVE",
            "address_2": "APT. 11C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121732",
            "telephone_number": "602-264-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N CENTRAL AVE",
            "address_2": "APT. 11C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121732",
            "telephone_number": "602-264-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANION",
        "first_name": "REGINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "REGINA MANION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "9225A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "FANELLI",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "REGINA MANION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Ross Mangum
• Tara Mangum, D.O.
• Erin Maniaci, PT, DPT
• Tracey Denise Manigault, MA., CSP
• Laura Manigo, PA-C, MMS
• Angelina Manjarrez
• Carla Jeanene Manjarrez
• Fatima Yarely Manjarrez
• Christina Mankin, MSN, FNP-BC
• Marti Manko, FNP-C

• Physical Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.