Diedra R Manns, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

35441 Issued in CA

Practice address

970 Monument St.
Suite 207
Pacific Palisades, CA 90272

Phone

(310) 573-9553

Fax

(310) 573-9533

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cypress Physical Therapy Center, Inc.

  • Orthopedic Physical Therapist
  • Pacific Palisades, CA
  • NPI 1831977230
  NPD (past)
• The Cypress Center, a Physical Therapy Corporation

  • Physical Therapist
  • Pacific Palisades, CA
  • NPI 1265509079
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1609922798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST.",
            "address_2": "SUITE 207",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MONUMENT ST.",
            "address_2": "SUITE 207",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNS",
        "first_name": "DIEDRA",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870502",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "5742",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke S Cohen Professional Chiropractic Corporation
• Lynn Watanabe DDS Inc
• Julie Meyoung Ma, MD
• Malibu Beach Recovery Center, LLC
• Debra Maltenfort, MD
• Mark R Sawusch MD Inc
• Ann M Marraccini, P.T.
• Tracy G Marsh, PH.D.
• Max Moncayo DDS Dental Corporation
• Darby McCullough

• Physical Therapist in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.