Christopher Wayne Manzano, PT, DPT, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27376 Issued in MA

Practice address

1 Constitution Wharf
Suite 140
Charlestown, MA 02129

Phone

(857) 972-4256

NPI assigned

Sep 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Tufts University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smart Health and WellnessGroup PAC ID 0749642585, 9 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.

• Smart Health & Wellness

  • Orthopaedic Surgery Physician
  • Aliso Viejo, CA
  • NPI 1679227326
  Medicare reassignment Care Compare group NPD
• Smart Health & Wellness

  • Physical Therapist
  • Aliso Viejo, CA
  • NPI 1275300261
  NPD

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1558845602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 BOYLSTON ST STE 201",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163828",
            "telephone_number": "617-275-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CONSTITUTION WHARF",
            "address_2": "SUITE 140",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "02129",
            "telephone_number": "857-972-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "3051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia M Maccollin, MD
• Karen Louise Mackenzie
• Brian W Macone, PSYD
• Joshua Mael
• Erin Kathleen Mahoney Briones, M.D.
• Margaret Marino, NP
• Jairo Enrique Martinez-Yepes
• Patricia Marut, OTR/L
• Massachusetts General Hospital
• Alexandra Masullo, PA-C

• Physical Therapist in Charlestown, MA
• Providers in Charlestown, MA by specialty
• Physical Therapist in Massachusetts

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