Active NPI
Jennifer Manning, P.T.
- Physical Therapist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27445
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27445 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Physiotherapy Services, P.C. | Physical Therapist | Current | Accepting new patients |
| Grace Physical Therapy, Inc. | Past | 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.
-
- Physical Therapist
- Lake Forest, CA
- NPI 1205339611
-
dba Laguna Orthopedic Rehabilitation
- Specialist
- Laguna Niguel, CA
- NPI 1386668739
-
dba Sport and Spine Physical Therapy
- Physical Therapy Clinic/Center
- Santa Ana, CA
- NPI 1861571689
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.