Individual provider Active NPI

Adrian Palor Manalili, PHYSICAL THERAPIST

  • Physical Therapist
  • Sunrise, FL
National Provider Identifier
1154694040
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3164 Issued in NE
Practice address
4041 N Pine Island Rd Apt 404
Sunrise, FL 33351-6520
Phone
(954) 439-6524
NPI assigned
Feb 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-04369 KS
Physical Therapist 225100000X 3164 NE Primary

Addresses

Primary practice location

4041 N Pine Island Rd Apt 404
Sunrise, FL 33351-6520

Mailing address

4041 N Pine Island Rd
Apartment 404
Sunrise, FL 33351-6520
Phone (954) 439-6524

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

LicenseStateTypeSpecialty
11-04369KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian Manalili Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1154694040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N PINE ISLAND RD",
            "address_2": "APARTMENT 404",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516520",
            "telephone_number": "954-439-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N PINE ISLAND RD APT 404",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516520",
            "telephone_number": "954-439-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALILI",
        "first_name": "ADRIAN",
        "middle_name": "PALOR",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04369",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.