NPIMap

Organization Active NPI

Manna Pediatric Therapy Plus

  • Speech-Language Pathologist
  • Brownsville, TX
National Provider Identifier
1477858124
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105254 Issued in TX
Legal business name
MANNA PEDIATRIC THERAPY PLUS
Practice address
35 Business Dr
Suites C
Brownsville, TX 78521-4499
Phone
(956) 572-1908
Fax
(888) 588-3234
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Jee Aguilos Dellota, PT
Title
President
Phone
(956) 572-1908

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1122083 TX
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 112254 TX
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 105254 TX Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 17120 TX

Addresses

Primary practice location

35 Business Dr
Suites C
Brownsville, TX 78521-4499

Mailing address

35 Business Dr
Suites C
Brownsville, TX 78521-4499
Phone (956) 572-1908

Other identifiers 1

IdentifierTypeStateIssuer
204888601OtherTXTPI

National Provider Directory

National Provider Directory

Locations

35 Business Dr
Ste C
Brownsville, TX 78521
Phone (956) 517-1235

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1477858124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BUSINESS DR",
            "address_2": "SUITES C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214499",
            "telephone_number": "956-572-1908",
            "fax_number": "888-588-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BUSINESS DR",
            "address_2": "SUITES C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214499",
            "telephone_number": "956-572-1908",
            "fax_number": "888-588-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA PEDIATRIC THERAPY PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "DELLOTA",
        "authorized_official_first_name": "JEE",
        "authorized_official_middle_name": "AGUILOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-572-1908",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1122083",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112254",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105254",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "204888601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.