Individual provider Active NPI

Danielle Louise Manry, PT, DPT

  • Physical Therapist
  • Athens, GA
National Provider Identifier
1447969662
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016252 Issued in GA
Practice address
740 Prince Ave Ste 8B
Athens, GA 30606-5903
Phone
(762) 315-0860
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 PT016252 GA Primary

Addresses

Primary practice location

740 Prince Ave Ste 8B
Athens, GA 30606-5903

Mailing address

120 E Center St
Carrollton, GA 30117-3303
Phone (678) 390-6166

Other practice location 1

812 S Park St
Carrollton, GA 30117-4412
Phone (770) 834-7436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 Hawthorne Ave
Suite N
Athens, GA 30606-2168

340 Saint Claire Dr
Alpharetta, GA 30004-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016252GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SKJ Wellness LLC Physical Therapist CurrentSince Apr 1, 2026 Accepting new patients
Southern Therapy Services, Inc. PastSince Nov 20, 2022 Accepting new patients

Locations

1000 Hawthorne Ave
Ste N
Athens, GA 30606
Phone (706) 202-0072

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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1447969662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E CENTER ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173303",
            "telephone_number": "678-390-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE STE 8B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065903",
            "telephone_number": "762-315-0860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 S Park St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301174412",
            "country_code": "US",
            "telephone_number": "770-834-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANRY",
        "first_name": "DANIELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.