Individual provider Active NPI

Joshua Mannigan, PT

  • Physical Therapist
  • Geneva, NY
National Provider Identifier
1457651697
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033007 Issued in NY
Practice address
283 W North St
Geneva, NY 14456-1530
Phone
(315) 789-0841
Fax
(315) 789-0330
NPI assigned
Oct 21, 2010
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 033007 NY Primary

Addresses

Primary practice location

283 W North St
Geneva, NY 14456-1530

Mailing address

PO Box 725
Mendon, NY 14506-0725
Phone (585) 582-6273

Other identifiers 1

IdentifierTypeStateIssuer
003110852MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723007558 NY Practitioner - Physical Therapist in Private Practice 8628381340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

1655 Elmwood Ave
Suite 130
Rochester, NY 14620-3428
Phone (585) 442-9110

58 N Main St
Suite 200
Honeoye Falls, NY 14472-1076
Phone (585) 582-0034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033007NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Oct 7, 2019 Accepting new patients
Northern Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2015 Accepting new patients
Warner Physical Therapy PC Physical Therapist CurrentSince Jul 16, 2018 Accepting new patients
Finger Lakes Physical Therapy & Sports Care, P.L.L.C. Physical Therapist CurrentSince Feb 9, 2020 Accepting new patients

Locations

283 W North St
Geneva, NY 14456
Phone (315) 789-0841

58 N Main St
Ste 200
Honeoye Falls, NY 14472
Phone (585) 582-0034

203 State St
Ogdensburg, NY 13669
Phone (315) 393-2024

364 East Ave
Oswego, NY 13126
Phone (315) 326-0056

1655 Elmwood Ave
Ste 130
Rochester, NY 14620
Phone (585) 442-9110

20053 Summit View Blvd
Ste 2
Watertown, NY 13601
Phone (315) 681-4187

Interoperability endpoints

  • Direct secure messaging: jmannigan@lpt1.direct.rrhio.org
  • Direct secure messaging: lattimoreptofhoneoyefallslima@lpt1.direct.rrhio.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1457651697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060725",
            "telephone_number": "585-582-6273",
            "fax_number": "585-582-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 W NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561530",
            "telephone_number": "315-789-0841",
            "fax_number": "315-789-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNIGAN",
        "first_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-21",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003110852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.