Kris Mankin, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27965 Issued in CA

Practice address

24671 Monroe Ave Ste 101
Murrieta, CA 92562

Phone

(951) 677-4105

Fax

(951) 677-4106

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shoshawana Kristine Mankin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  NPD

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1497739759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33129 CHEYENNE CIR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925848745",
            "telephone_number": "714-743-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24671 MONROE AVE STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-677-4105",
            "fax_number": "951-677-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKIN",
        "first_name": "KRIS",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOSHAWANA",
            "last_name": "MANKIN",
            "middle_name": "KRISTINE",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Manavi Dental Corporation
• Stephen Gregory Manga
• Frank A. Mangano, M.D.
• Manila Zaman MD Inc
• Jorge Emmanuel Manjarrez
• Dylan Mann, MD
• Yashmit Mann
• Sharilyn Kay Manning, LCSW
• Cynthia Mantia
• Deatra Manzanilla

• Physical Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.