Individual provider Active NPI

Catherine Samson Manger, R.P.T.

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1447551486
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9400 Issued in FL
Practice address
7041 Grand National Drive
Suite 212
Orlando, FL 32819
Phone
(407) 351-6330
Fax
(407) 351-6303
NPI assigned
Nov 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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 PT9400 FL Primary

Addresses

Primary practice location

7041 Grand National Drive
Suite 212
Orlando, FL 32819

Mailing address

10724 Mere Parkway
Orlando, FL 32832

Other names 1

  • Catherine Salutillo Samson Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT9400FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Home Healthcare, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1447551486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10724 MERE PARKWAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 GRAND NATIONAL DRIVE",
            "address_2": "SUITE 212",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-351-6330",
            "fax_number": "407-351-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGER",
        "first_name": "CATHERINE",
        "middle_name": "SAMSON",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT9400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "SAMSON",
            "middle_name": "SALUTILLO",
            "credential": "R.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.