Organization Active NPI

Manual Medicine LLC

  • Physical Therapist
  • Poland, OH
National Provider Identifier
1285118067
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MANUAL MEDICINE LLC
Practice address
89 N Main St
Poland, OH 44514-1693
Phone
(330) 774-3464
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Dr. David Denton, PT, DPT, CIDN, CVTNPI 1053577700
Title
Home Health/Performance Enhancement
Phone
(330) 774-3464

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

89 N Main St
Poland, OH 44514-1693

Mailing address

89 N Main St
Poland, OH 44514-1693
Phone (330) 423-2464

Other practice location 1

7790 Exeter Ct
Canfield, OH 44406
Phone (330) 423-2464

Other practice location 2

7790 Exeter Ct
Canfield, OH 44406
Phone (330) 423-2464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190702003356 OH Part B Supplier - Clinic/Group Practice 7517291040 Receives reassigned benefits from 1 practitioner
Practice locations: Poland, OH

National Provider Directory

National Provider Directory

Locations

53 W McKinley Way
Poland, OH 44514
Phone (330) 774-3464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1285118067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 N MAIN ST",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141693",
            "telephone_number": "330-423-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 N MAIN ST",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141693",
            "telephone_number": "330-774-3464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7790 Exeter Ct",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "44406",
            "country_code": "US",
            "telephone_number": "330-423-2464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7790 Exeter Ct",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "44406",
            "country_code": "US",
            "telephone_number": "330-423-2464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANUAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "HOME HEALTH/PERFORMANCE ENHANCEMENT",
        "authorized_official_telephone_number": "330-774-3464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CIDN, CVT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.