Kaitlyn Manke

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0013987 Issued in CO

Practice address

135 W Rockrimmon Blvd Apt 10
Colorado Springs, CO 80919-4040

Phone

(724) 963-9712

NPI assigned

Dec 15, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn Holmes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1477069201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W ROCKRIMMON BLVD APT 10",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194040",
            "telephone_number": "724-963-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W ROCKRIMMON BLVD APT 10",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194040",
            "telephone_number": "724-963-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKE",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "HOLMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Perrie Lyn Manin, D.M.D.
• Cindy Ann Maniscalco, RMT
• Reena Annetta Manka, CACII
• Sarah Ard Manka
• Andrew Manke, DPT
• Hannah Andlyn Manley, MOT
• Sara Manley, PTA
• Nancy Jo Manly, LPC
• Allison Mann
• Christina Mann

• Physical Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.