Michael J Manneraak, PT, MRS-PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4126 Issued in SC

Practice address

2125 Charlie Hall Blvd
Charleston, SC 29414-5879

Phone

(843) 573-1513

Fax

(843) 573-1511

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

No

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 SC

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.

• Fox Rehabilitation Services of South Carolina, LLC

  • Physical Therapist
  • Lexington, SC
  • NPI 1902133689
  Medicare reassignment NPD

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1356538102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145879",
            "telephone_number": "843-573-1513",
            "fax_number": "843-573-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145879",
            "telephone_number": "843-573-1513",
            "fax_number": "843-573-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNERAAK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PT, MRS-PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenden Manley, D.D.S
• Alan Thomas Mann, D.O.
• Erica Lacey Mann, MD
• Marley Abigail Mann
• Michael Mann, MD
• Haley Mannetta, LPCA
• Carissa Michelle Manning, LCSW
• Colleen Anne Manning, PHYSICIAN ASSISTANT
• Ashlee Dixon Manos, L.AC.
• Zachary Mansell, DO

• Physical Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.