Jetro Manipes Tenerife, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 22707 Issued in FL

Practice address

1001 Alabaster Way
Ste328
Deltona, FL 32725-4324

Phone

(386) 218-3833

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Florida Physical Therapy Services of Orange City, LLC

  • Physical Therapist
  • Debary, FL
  • NPI 1952112484
  Medicare reassignment NPD

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1356475701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1975",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301621975",
            "telephone_number": "706-204-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ALABASTER WAY",
            "address_2": "STE328",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327254324",
            "telephone_number": "386-218-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENERIFE",
        "first_name": "JETRO",
        "middle_name": "MANIPES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 22707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakeela Tawwab, M.D.
• Ariela Taylor-Mejia
• Alfred Taylor
• Team4 Transport LLC
• Tenderhearted Mental Health Counseling & Wellness
• John Edward Terwilleger, M.D.
• Miriam Texidor, RRT
• Sokunthirith Thach, D.O.
• The Best Dentist in Deltona PLLC
• The Healing Porch LLC

• Physical Therapist in Deltona, FL
• Providers in Deltona, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.