Individual provider Active NPI

Eric Reece Maennle, PT, DPT

  • Physical Therapist
  • Lenoir, NC
National Provider Identifier
1184456196
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23332 Issued in NC
Practice address
1031 Morganton Blvd SW Ste a
Lenoir, NC 28645-5669
Phone
(828) 757-6226
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P23332 NC Primary

Addresses

Primary practice location

1031 Morganton Blvd SW Ste a
Lenoir, NC 28645-5669

Mailing address

1031 Morganton Blvd SW Ste a
Lenoir, NC 28645-5669
Phone (828) 757-6226

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
P23332NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. PastSince Aug 25, 2024 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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1184456196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MORGANTON BLVD SW STE A",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455669",
            "telephone_number": "828-757-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MORGANTON BLVD SW STE A",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455669",
            "telephone_number": "828-757-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAENNLE",
        "first_name": "ERIC",
        "middle_name": "REECE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.