Individual provider Active NPI

Whilma Maniti, P.T.

  • Physical Therapist
  • Newark, NJ
National Provider Identifier
1518989441
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01200100 Issued in NJ
Practice address
1119 Broad St
Newark, NJ 07114-2501
Phone
(929) 333-0882
Fax
(973) 669-7315
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 022580 NY
Physical Therapist 225100000X 40QA01200100 NJ Primary

Addresses

Primary practice location

1119 Broad St
Newark, NJ 07114-2501

Mailing address

1119 Broad St
Newark, NJ 07114-2501
Phone (929) 333-0882

Other practice location 1

13618 39th Ave
Suite 906
Flushing, NY 11354-5516
Phone (718) 961-8817

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130607000003 NJ Practitioner - Physical Therapist in Private Practice 9830182674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

18 Summit St
Apt 230
West Orange, NJ 07052-1504
Phone (929) 333-0882

622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone (973) 669-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022580NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jireh Healthcare LLC Physical Therapist CurrentSince Jan 15, 2018 Accepting new patients
Rapha Physical Therapy LLC Physical Therapist CurrentSince Dec 27, 2024 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Jul 10, 2025 Accepting new patients
Cornell Medical, PC Physical Therapist Past Accepting new patients
Holsman Physical and Occupational Therapy PC Physical Therapist PastSince Apr 1, 2013 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065

1119 Broad St
Newark, NJ 07114
Phone (929) 333-0882

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1518989441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071142501",
            "telephone_number": "929-333-0882",
            "fax_number": "973-669-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071142501",
            "telephone_number": "929-333-0882",
            "fax_number": "973-669-7315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13618 39th Ave",
            "address_2": "Suite 906",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545516",
            "country_code": "US",
            "telephone_number": "718-961-8817",
            "fax_number": "718-961-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANITI",
        "first_name": "WHILMA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022580",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01200100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.