Active NPI
Michael Alan Manko, P.T.
- Physical Therapist
- Deerfield Beach, FL
National Provider Identifier
1427283225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4412
- Practice address
- 700 S Federal Hwy Ste D
Deerfield Beach, FL 33441-5786 - Phone
- (954) 354-1414
- NPI assigned
- May 22, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4412 | FL | Primary |
Addresses
Primary practice location
700 S Federal Hwy Ste D
Deerfield Beach, FL 33441-5786
Mailing address
330 NE 8TH St
Boca Raton, FL 33432-2724
Phone (561) 338-4751
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4412 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242950400000",
"number": "1427283225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 NE 8TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334322724",
"telephone_number": "561-338-4751",
"fax_number": "561-338-4751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S FEDERAL HWY STE D",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334415786",
"telephone_number": "954-354-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANKO",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-22",
"last_updated": "2009-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT4412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.