Individual provider Active NPI

Jennifer Manning, P.T.

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1487756391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27445 Issued in CA
Practice address
1971 E 4TH St
210
Santa Ana, CA 92705-3917
Phone
(714) 835-1672
NPI assigned
Sep 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 27445 CA Primary

Addresses

Primary practice location

1971 E 4TH St
210
Santa Ana, CA 92705-3917

Mailing address

42 Alevera St
Irvine, CA 92618-7019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116001405 CA Practitioner - Physical Therapist in Private Practice 7911959226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Physiotherapy Services P CGroup PAC ID 9335403963, 3 clinicians

Practice addresses (Care Compare)

22821 Lake Forest Dr
Suite 100
Lake Forest, CA 92630-1606
Phone (949) 716-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27445CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Physiotherapy Services, P.C. Physical Therapist CurrentSince Mar 21, 2018 Accepting new patients
Grace Physical Therapy, Inc. PastSince Apr 20, 2011 Accepting new patients
Matrix Rehabilitation, Inc. Past Accepting new patients

Locations

24953 Paseo de Valencia
Ste 8C
Laguna Hills, CA 92653
Phone (248) 259-5189

22821 Lake Forest Dr
Ste 100
Lake Forest, CA 92630
Phone (949) 716-1800

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487756391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ALEVERA ST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 E 4TH ST",
            "address_2": "210",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053917",
            "telephone_number": "714-835-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JENNIFER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.