Elizabeth Manka

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17550 Issued in MA

Practice address

65 Wiggins Ave
Bedford, MA 01730-2338

Phone

(781) 791-9499

NPI assigned

Feb 7, 2014

Last updated

Feb 7, 2014By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Moving Forward Physical Therapy Inc.

  • Registered Dietitian
  • Bedford, MA
  • NPI 1659969178
  NPD (past)

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1396169595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WIGGINS AVE",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302338",
            "telephone_number": "781-791-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WIGGINS AVE",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302338",
            "telephone_number": "781-791-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnum Health Care LLC (Boston Geriatrics)
• Madison Mahar, OTR/L
• Anthony Vu Mai
• Michelle Maksian, RD, CNSC
• Haruna Kibundila Maliani, PMHNP-BC
• Melanie Manning, PSY.D.
• Nelson Mantle, BCBA
• Athina Mantzouranis, D.M.D.
• Melanie Alissa Marchand, PT
• Erica Marchant

• Physical Therapist in Bedford, MA
• Providers in Bedford, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.