Jennifer Manousakis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30025 Issued in FL

Practice address

2 Lonetree Look
Ormond Beach, FL 32174-2409

Phone

(910) 874-0293

NPI assigned

Feb 5, 2015

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles (3 of 5)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Genesis Health Development Inc

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1033154992

  FL

  Medicare reassignment NPD
• Therapeutic Mobilities LLC

  • Clinic/Center
  • Venice, FL
  • NPI 1184999476

  FL

  Medicare reassignment
• Genesis Health Development, Inc.

  • Rehabilitation Clinic/Center
  • Clermont, FL
  • NPI 1528707379
  NPD
• Seating and Mobility Consultants LLC

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1083383194
  NPD

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1437540960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LONETREE LOOK",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742409",
            "telephone_number": "910-874-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LONETREE LOOK",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742409",
            "telephone_number": "910-874-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOUSAKIS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Lee Mahon, OTD/OTR
• Michael Kevin Makowski, MD
• Patricia Makris, PT
• Manne & Borer Endodontics and Microsurgery PL
• Bruce D Manne, DMD
• Marandino Schargen Chiropractic, P.a.
• Marcie Marandino, D.C.
• Enzo Marchese, EMT
• Kelli Jean Marchewka, PA-C
• Jenilee Marcinkiewicz, FNP-C

• Physical Therapist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.