Organization Active NPI

Manos Physical Therapy

  • Physical Therapist
  • Huntington, NY
National Provider Identifier
1295262699
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025471 Issued in NY
Legal business name
MANOS PHYSICAL THERAPY
Practice address
775 Park Ave Ste 300
Huntington, NY 11743-7559
Phone
(631) 350-2796
Fax
(631) 350-6022
NPI assigned
May 16, 2017
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Mr. Daniel Michael Sweeney Jr., DPTNPI 1861928897
Title
President
Phone
(631) 350-2796

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 Therapist 225100000X 025471 NY Primary

Addresses

Primary practice location

775 Park Ave Ste 300
Huntington, NY 11743-7559

Mailing address

775 Park Ave Ste 300
Huntington, NY 11743-7559
Phone (631) 350-2796

Other identifiers 1

IdentifierTypeStateIssuer
025471OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170607000645 NY Part B Supplier - Clinic/Group Practice 7113294505 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Locations

168 Main St
Ste A
Huntington, NY 11743
Phone (631) 350-2796

775 Park Ave
Ste 300
Huntington, NY 11743
Phone (631) 350-2796

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1295262699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 300",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437559",
            "telephone_number": "631-350-2796",
            "fax_number": "631-350-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 300",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437559",
            "telephone_number": "631-350-2796",
            "fax_number": "631-350-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-350-2796",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "025471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.