Organization Active NPI

Manual Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Wilson, NC
National Provider Identifier
1164860169
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MANUAL PHYSICAL THERAPY, INC
Practice address
3200 Nash St N
Wilson, NC 27896-1231
Phone
(252) 243-6784
Fax
(252) 243-6782
NPI assigned
Jun 12, 2013
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Dr. Kelly Senglar-Vitale, PT DPTNPI 1891757548
Title
President/Owner
Phone
(252) 544-0628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3200 Nash St N
Wilson, NC 27896-1231

Mailing address

3200 Nash St N
Wilson, NC 27896-1231
Phone (252) 243-6784

Other practice location 1

147 N Winstead Ave
Rocky Mount, NC 27804-2236
Phone (252) 937-6784

Other identifiers 1

IdentifierTypeStateIssuer
1891757548OtherPERSONAL NPI #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024000331 NC Part B Supplier - Clinic/Group Practice 4385879592 Receives reassigned benefits from 9 practitioners
Practice locations: Wilson, NC; Rocky Mount, NC

National Provider Directory

National Provider Directory

Locations

139 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-6784

147 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-6784

3200 Nash St N
Wilson, NC 27896
Phone (252) 243-6784

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1164860169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961231",
            "telephone_number": "252-243-6784",
            "fax_number": "252-243-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961231",
            "telephone_number": "252-243-6784",
            "fax_number": "252-243-6782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 N Winstead Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042236",
            "country_code": "US",
            "telephone_number": "252-937-6784",
            "fax_number": "252-937-6782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANUAL PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "SENGLAR-VITALE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "252-544-0628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI #",
            "identifier": "1891757548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.