Active NPI
Alisa Manzano, M.S., P.T.
- Physical Therapy Clinic/Center
- Davis, CA
National Provider Identifier
1154864080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 18465
- Practice address
- 2030 Sutter PL
Suite 1000
Davis, CA 95616-6212 - Phone
- (530) 750-5904
- Fax
- (530) 750-5905
- NPI assigned
- Nov 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 18465 | CA | Primary |
Addresses
Primary practice location
2030 Sutter PL
Suite 1000
Davis, CA 95616-6212
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1154864080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 SUTTER PL",
"address_2": "SUITE 1000",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166212",
"telephone_number": "530-750-5904",
"fax_number": "530-750-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZANO",
"first_name": "ALISA",
"credential": "M.S., P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-25",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "18465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
- Jennifer Manibot Meza
- Philip Manibusan-Magaoay
- Daljit Singh Mann, MD
- Walter James Mansfield
- Laura Lynn Mansouri, PH.D.
- Zaid Maqbool, MD
- Tosi Marceline, LM, CPM
- Lourdes Maria Pena
- Mark David Levine MD Woodland Professional Corporation (Community Psychiatry)
- Mark David Levine MD, Professional Corporation (Community Psychiatry Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.