Individual provider Active NPI

Philip A Maniscalco

  • Physical Therapist
  • West Seneca, NY
National Provider Identifier
1467703140
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015300 Issued in NY
Practice address
1086B Union Rd
West Seneca, NY 14224-3449
Phone
(716) 608-6730
NPI assigned
Sep 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 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 015300 NY Primary

Addresses

Primary practice location

1086B Union Rd
West Seneca, NY 14224-3449

Mailing address

1086B Union Rd
West Seneca, NY 14224-3449
Phone (716) 608-6730

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180305002264 NY Practitioner - Physical Therapist in Private Practice 4082975206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchard Park Progressive Physical Therapy PLLCGroup PAC ID 6406116839, 9 clinicians

Practice addresses (Care Compare)

1086 B Union Rd
West Seneca, NY 14224-3449
Phone (716) 608-6730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015300NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Park Progressive Physical Therapy PLLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients

Locations

3045 Southwestern Blvd
Ste 100
Orchard Park, NY 14127
Phone (716) 508-0298

1086B Union Rd
West Seneca, NY 14224
Phone (716) 300-6699

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": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1467703140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086B UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243449",
            "telephone_number": "716-608-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086B UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243449",
            "telephone_number": "716-608-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "PHILIP",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-21",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.