Fernando Martin Manrique Ruiz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0015588 Issued in CO

Practice address

1775 S 8TH St
Colorado Springs, CO 80905-1926

Phone

(719) 477-6870

NPI assigned

Aug 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Moves IncGroup PAC ID 5890754725, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Great Moves Inc

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1669401238
  Medicare reassignment Care Compare group NPD
• Strive Wellness PLLC

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1134828890
  NPD

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1528547486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051926",
            "telephone_number": "719-477-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051926",
            "telephone_number": "719-477-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUE RUIZ",
        "first_name": "FERNANDO",
        "middle_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-11",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysta Elizabeth Manning, DMD
• Leslie Manning, LCSW
• Nicholas Manning
• Sarah Lea Manning, APRN
• Morgan Jean Manowske
• Madeline Mansfield, LPCC
• Kelsey Mansheim, D.O.
• Kaileigh Manson
• Jennifer Mansur, L.AC., DIPL. AC.
• Clarisa Kim Mantanona, D.D.S.

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.