Individual provider Active NPI

Manuel Vicente Mauri, PT, SCD, FAAOMPT

  • Orthopedic Physical Therapist
  • Anchorage, AK
National Provider Identifier
1205316007
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
1917 Abbott Rd Ste 200
Anchorage, AK 99507-3449
Phone
(907) 279-4266
Fax
(907) 279-4272
NPI assigned
Aug 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

1917 Abbott Rd Ste 200
Anchorage, AK 99507-3449

Mailing address

5338 Wood Hall Dr
Anchorage, AK 99516-7570
Phone (954) 707-1254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190426002154 AK Practitioner - Physical Therapist in Private Practice 9335481159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy IncGroup PAC ID 0941228548, 44 clinicians
Anchorage Neurosurgical Associates IncGroup PAC ID 4880583707, 13 clinicians

Practice addresses (Care Compare)

1917 Abbott Rd
Suite 200
Anchorage, AK 99507-3449
Phone (907) 279-4266

3831 Piper St
Suite S450
Anchorage, AK 99508-4635
Phone (907) 258-6999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy Inc CurrentSince Feb 12, 2019 Accepting new patients
Anchorage Neurosurgical Associates Inc CurrentSince Sep 7, 2019 Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

3831 Piper St
Ste S450
Anchorage, AK 99508
Phone (907) 258-6999

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1205316007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5338 WOOD HALL DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995167570",
            "telephone_number": "954-707-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 ABBOTT RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073449",
            "telephone_number": "907-279-4266",
            "fax_number": "907-279-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURI",
        "first_name": "MANUEL",
        "middle_name": "VICENTE",
        "credential": "PT, SCD, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.