Active NPI
Manuel Contreras, CERTIFIED ORTHOTIST
- Orthotist
- Raleigh, NC
National Provider Identifier
1356940506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO003170
- Practice address
- 3031 New Bern Ave Ste 102
Raleigh, NC 27610-2989 - Phone
- (919) 231-3132
- Fax
- (919) 231-3107
- NPI assigned
- Oct 20, 2020
- Last updated
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO003170 | SC | Primary |
Addresses
Primary practice location
3031 New Bern Ave Ste 102
Raleigh, NC 27610-2989
Mailing address
3031 New Bern Ave Ste 102
Raleigh, NC 27610-2989
Phone (919) 231-3132
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO003170 | SC | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanger Prosthetics & Orthotics East Inc | Orthotist | Past | Accepting new patients |
| Hanger Prosthetics & Orthotics East Inc | Orthotist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Raleigh, NC
- NPI 1134293012
Orthotist
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Jersey City, NJ
- NPI 1205624301
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1356940506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 NEW BERN AVE STE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276102989",
"telephone_number": "919-231-3132",
"fax_number": "919-231-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 NEW BERN AVE STE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276102989",
"telephone_number": "919-231-3132",
"fax_number": "919-231-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "MANUEL",
"credential": "CERTIFIED ORTHOTIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "SC",
"license": "CO003170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Contact Lens Institute, Optometry, PA
- Claudia Conte, OTR/L
- Dana Frances Conte, N.P.
- David Joshua Conti, DPT
- Continuum II Home Health & Hospice, Inc. (Continuum Home Care of Raleigh)
- Olivia Green Conway
- Ronell Maleek Conyers, LAT, ATC
- Coogan Hickey Services, Inc. (Aspiring Hearts Counseling)
- Marialyce D Coogan, OTR/L
- Theresa Anne Coogan, LMHCA, NCC, NCSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.