Individual provider Active NPI

Joseph Harold Manthe III, PT, ATC

  • Physical Medicine & Rehabilitation Physician
  • Rogers, AR
National Provider Identifier
1285676924
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT3213 Issued in AR
Practice address
1101 Horsebarn Rd
Rogers, AR 72758-8237
Phone
(479) 271-9607
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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 2450 NE
Physical Medicine & Rehabilitation Physician 208100000X PT3213 AR Primary

Addresses

Primary practice location

1101 Horsebarn Rd
Rogers, AR 72758-8237

Mailing address

PO Box 1608
Fayetteville, AR 72702-1608
Phone (479) 587-3130

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2450NEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Rehabilitation Inc Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmanthe655767@directc.mercy.net

Organizations & group practices 1

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1285676924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1608",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021608",
            "telephone_number": "479-587-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588237",
            "telephone_number": "479-271-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTHE",
        "first_name": "JOSEPH",
        "middle_name": "HAROLD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2450",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "PT3213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.