Mana Mobility Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MANA MOBILITY PHYSICAL THERAPY

Practice address

1267 Willis St Ste 200
Redding, CA 96001-0400

Phone

(510) 432-8278

NPI assigned

Oct 9, 2020

Organization subpart

No

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

Authorized official

Name

Jessica Garakian, PT, DPT

Title

Physical Therapist/Owner

Phone

(510) 432-8278

Specialties & licenses 1

Addresses

Other names 1

• Mana Mobility Physical Therapy, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1285232561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-1185 MAMALAHOA HWY D-104",
            "address_2": "#153",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437505",
            "telephone_number": "510-432-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 WILLIS ST STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010400",
            "telephone_number": "510-432-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA MOBILITY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "GARAKIAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "510-432-8278",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mana Mobility Physical Therapy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Heather Mallory
• Ann O. Malotky, D.D.S.
• Maximilian Von Malotky, M.D.
• Richard Arden Malotky, MD
• Mahesh Mamilla, M.B.B.S
• Douglas Kevin Mandel, MD
• Michel Ross Mandel, M.D.
• Max Ruben Mandelbaum, M.D., PH.D.
• Brianna Lynn Maners
• Rebecca Lynn Manfredonia

• Physical Therapy Clinic/Center in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.