Individual provider Active NPI

Martin Louis Manuel, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1346730983
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042914 Issued in NY
Practice address
813 Quentin Rd
Brooklyn, NY 11223
Phone
(718) 627-8100
NPI assigned
May 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 042914 NY Primary

Addresses

Primary practice location

813 Quentin Rd
Brooklyn, NY 11223

Mailing address

1649 W 4TH St Apt 1
Brooklyn, NY 11223-1541
Phone (732) 984-8412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724001016 NY Practitioner - Physical Therapist in Private Practice 2860749736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
NJS Physical Medicine and Rehabilitation PCGroup PAC ID 4385941079, 2 clinicians

Practice addresses (Care Compare)

1178 Flatbush Ave
Brooklyn, NY 11226-7005
Phone (718) 940-8100

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excellent Choice Physical Therapy, P.C. Single Specialty CurrentSince Jul 3, 2023 Accepting new patients
NJS Physical Medicine and Rehabilitation, PC Single Specialty CurrentSince Dec 3, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Montefiore Medical Center Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
South Island Orthopedics, P.C. Single Specialty PastSince Dec 3, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1178 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 940-8100

11835 Queens Blvd
Ste 1550
Forest Hills, NY 11375
Phone (718) 544-5730

4701 Queens Blvd
Ste 402
Sunnyside, NY 11104
Phone (718) 729-5947

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1346730983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 W 4TH ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231541",
            "telephone_number": "732-984-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-627-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "MARTIN",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.