Individual provider Active NPI

Patrick Evandel Orquiola Manlapaz

  • Physical Therapist
  • New Haven, CT
National Provider Identifier
1265974471
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010568 Issued in CT
Practice address
63 Rock St
New Haven, CT 06511-2715
Phone
(760) 620-3425
NPI assigned
Nov 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010568 CT Primary
Physical Therapist 225100000X 1268879 TX

Addresses

Primary practice location

63 Rock St
New Haven, CT 06511-2715

Mailing address

63 Rock St
New Haven, CT 06511-2715
Phone (760) 620-3425

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
010568CTMDPhysical Therapist
1268879TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1265974471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ROCK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112715",
            "telephone_number": "760-620-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ROCK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112715",
            "telephone_number": "760-620-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLAPAZ",
        "first_name": "PATRICK EVANDEL",
        "middle_name": "ORQUIOLA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010568",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1268879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.