Individual provider Active NPI

Bryan Manarte

  • Physical Therapist
  • Ocoee, FL
National Provider Identifier
1447795307
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32082 Issued in FL
Practice address
2706 Rew Circle
Ste 200
Ocoee, FL 34761-4215
Phone
(407) 614-8337
Fax
(407) 614-8341
NPI assigned
Jan 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 32082 FL Primary

Addresses

Primary practice location

2706 Rew Circle
Ste 200
Ocoee, FL 34761-4215

Mailing address

2706 Rew Circle
Ste 200
Ocoee, FL 34761-4215
Phone (407) 614-8337

Other practice location 1

4501 Vineland Rd
Suite 103
Orlando, FL 32811-7375
Phone (407) 426-7066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107004203 FL Practitioner - Physical Therapist in Private Practice 4789118134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32082FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

2706 Rew Cir
Ste 200
Ocoee, FL 34761
Phone (407) 614-8337

2706 Rew Cir
Ocoee, FL 34761
Phone (321) 842-4800

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1447795307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 REW CIRCLE",
            "address_2": "STE 200",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614215",
            "telephone_number": "407-614-8337",
            "fax_number": "407-614-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 REW CIRCLE",
            "address_2": "STE 200",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614215",
            "telephone_number": "407-614-8337",
            "fax_number": "407-614-8341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Vineland Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328117375",
            "country_code": "US",
            "telephone_number": "407-426-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANARTE",
        "first_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "32082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.