Individual provider Active NPI

Nanami Mano

  • Physical Therapist
  • Cranberry TWP, PA
National Provider Identifier
1225701865
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029600 Issued in PA
Practice address
8000 Cranberry Springs Dr
Cranberry TWP, PA 16066-6687
Phone
(724) 720-3050
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 PT029600 PA Primary

Addresses

Primary practice location

8000 Cranberry Springs Dr
Cranberry TWP, PA 16066-6687

Mailing address

8000 Cranberry Springs Dr
Cranberry TWP, PA 16066-6687

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303001821 PA Practitioner - Physical Therapist in Private Practice 6800317181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuroaxis Rehabilitation ServicesGroup PAC ID 7012300387, 24 clinicians

Practice addresses (Care Compare)

1159 Bayberry Dr
Canonsburg, PA 15317-4992
Phone (484) 354-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroaxis Rehabilitation Services Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Neuroaxis Rehabilitation Services PastSince Mar 3, 2025 Accepting new patients

Locations

3735 Saxonburg Blvd
Pittsburgh, PA 15238
Phone (412) 213-8667

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1225701865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 CRANBERRY SPRINGS DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 CRANBERRY SPRINGS DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666687",
            "telephone_number": "724-720-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANO",
        "first_name": "NANAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.