Individual provider Active NPI

Harold Paul Manrique, MPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1427121649
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28703 Issued in CA
Practice address
22 Odyssey Ste 260
Irvine, CA 92618-7701
Phone
(949) 748-7806
Fax
(949) 748-7892
NPI assigned
Nov 16, 2006
Last updated
May 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 PT28703 CA Primary

Addresses

Primary practice location

22 Odyssey Ste 260
Irvine, CA 92618-7701

Mailing address

22 Odyssey Ste 260
Irvine, CA 92618-7701
Phone (949) 748-7806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000613 CA Practitioner - Physical Therapist in Private Practice 6800782962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harold Manrique MPTGroup PAC ID 2264892496, 2 clinicians

Practice addresses (Care Compare)

22 Odyssey
Suite 260
Irvine, CA 92618-7701
Phone (949) 748-7806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28703CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harold Manrique, MPT Physical Therapist CurrentSince May 30, 2023 Accepting new patients
Hands on Physical Therapy, Inc PastSince Jun 28, 2007 Accepting new patients
Focus Physical Therapy, Inc Physical Therapist Past Accepting new patients

Locations

22 Odyssey
Ste 260
Irvine, CA 92618
Phone (949) 748-7806

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1427121649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "949-748-7806",
            "fax_number": "949-709-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "949-748-7806",
            "fax_number": "949-748-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUE",
        "first_name": "HAROLD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.