Individual provider Active NPI

Melvin Joseph Manalansan, PT, DPT

  • Neurology Physical Therapist
  • Celebration, FL
National Provider Identifier
1598637100
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
42336 Issued in FL
Practice address
400 Celebration PL Ste C200
Celebration, FL 34747-4970
Phone
(630) 398-6011
NPI assigned
Sep 22, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 42336 FL Primary

Addresses

Primary practice location

400 Celebration PL Ste C200
Celebration, FL 34747-4970

Mailing address

1235 E Plant St Apt 101
Winter Garden, FL 34787-1931
Phone (630) 398-6011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105000517 FL Practitioner - Physical Therapist in Private Practice 9335635952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Neuro Therapy LLCGroup PAC ID 6406348820, 7 clinicians

Practice addresses (Care Compare)

111 E Monument Ave
Unit 410
Kissimmee, FL 34741-5774
Phone (407) 904-5285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42336FLMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Neuro Therapy LLC Neurology CurrentSince Nov 25, 2025 Accepting new patients

Locations

111 E Monument Ave
Unit 410
Kissimmee, FL 34741
Phone (407) 847-6873

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1598637100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E PLANT ST APT 101",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347871931",
            "telephone_number": "630-398-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CELEBRATION PL STE C200",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474970",
            "telephone_number": "630-398-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALANSAN",
        "first_name": "MELVIN",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "42336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.