Active NPI
Michelle Maniaci, P.T.
- Physical Therapist
- Miami, FL
National Provider Identifier
1457591018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-15116
- Practice address
- 1408 Brickell Bay Dr
Suite #1018
Miami, FL 33131-3697 - Phone
- (305) 206-2229
- NPI assigned
- Feb 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | PT-15116 | FL | Primary |
Addresses
Primary practice location
1408 Brickell Bay Dr
Suite #1018
Miami, FL 33131-3697
Mailing address
1408 Brickell Bay Dr
Suite #1018
Miami, FL 33131-3697
Phone (305) 206-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884232900 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-15116 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1457591018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 BRICKELL BAY DR",
"address_2": "SUITE #1018",
"city": "MIAMI",
"state": "FL",
"postal_code": "331313697",
"telephone_number": "305-206-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 BRICKELL BAY DR",
"address_2": "SUITE #1018",
"city": "MIAMI",
"state": "FL",
"postal_code": "331313697",
"telephone_number": "305-206-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIACI",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT-15116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "884232900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.