Individual provider Active NPI

Michael Charles Manzo, MPT

  • Physical Therapist
  • Freehold, NJ
National Provider Identifier
1386775963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00844800 Issued in NJ
Practice address
222 Schanck Rd
Suite 300
Freehold, NJ 07728-3068
Phone
(732) 431-2883
Fax
(732) 431-2865
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00844800 NJ Primary

Addresses

Primary practice location

222 Schanck Rd
Suite 300
Freehold, NJ 07728-3068

Mailing address

222 Schanck Rd
Suite 300
Freehold, NJ 07728-3068
Phone (732) 300-9928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000306 NJ Practitioner - Physical Therapist in Private Practice 4789754086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

1037 Route 70
Manchester, NJ 08759-5806
Phone (732) 408-1800

1175 Route 33
Farmingdale, NJ 07727-3797
Phone (848) 249-1199

1837 Old Mill Rd
Wall, NJ 07719-3641
Phone (732) 655-2200

1930 Route 88
Brick, NJ 08724-3153
Phone (732) 965-7900

2005 Route 35
Suite 21
Oakhurst, NJ 07755-2763
Phone (732) 240-9296

209 Applegarth Rd
Suite E 108
Monroe, NJ 08831-3842
Phone (732) 992-8200

2512 Tiltons Corner Rd
Wall Township, NJ 07719-9118
Phone (732) 528-3850

3 Paragon Way
Suite 250
Freehold, NJ 07728-9578
Phone (732) 431-2883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00844800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center CurrentSince Feb 27, 2008 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Feb 27, 2008 Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients

Locations

222 Schanck Rd
Ste 300
Freehold, NJ 07728
Phone (732) 431-2883

3 Paragon Way
Ste 250
Freehold, NJ 07728
Phone (732) 431-2883

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787

1372 Route 9
Bldg 2
Toms River, NJ 08755
Phone (732) 240-9296

Organizations & group practices 3

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386775963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SCHANCK RD",
            "address_2": "SUITE 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283068",
            "telephone_number": "732-300-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SCHANCK RD",
            "address_2": "SUITE 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283068",
            "telephone_number": "732-431-2883",
            "fax_number": "732-431-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00844800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.