Organization Active NPI

Mankind Physical Therapy & Sports Medicine

  • Physical Therapy Clinic/Center
  • Irvine, CA
National Provider Identifier
1609554468
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MANKIND PHYSICAL THERAPY & SPORTS MEDICINE
Practice address
17241 Murphy Ave
Irvine, CA 92614-5917
Phone
(949) 312-1651
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Jason S Manalili, DPT, OCS, CSCS
Title
Co-Owner
Phone
(949) 312-1651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

17241 Murphy Ave
Irvine, CA 92614-5917

Mailing address

17241 Murphy Ave
Irvine, CA 92614-5917
Phone (949) 312-1651

Other practice location 1

847 W 16th St
Newport Beach, CA 92663-2801
Phone (949) 312-1651

National Provider Directory

National Provider Directory

Locations

17241 Murphy Ave
Irvine, CA 92614
Phone (530) 559-9246

847 W 16th St
Newport Beach, CA 92663
Phone (458) 888-1428

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1609554468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17241 MURPHY AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145917",
            "telephone_number": "949-312-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17241 MURPHY AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145917",
            "telephone_number": "949-312-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "847 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926632801",
            "country_code": "US",
            "telephone_number": "949-312-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANKIND PHYSICAL THERAPY & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "MANALILI",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "949-312-1651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.