Individual provider Active NPI

Latosha Nicole Solomon Manning, PT, DPT, MBA

  • Physical Therapist
  • Zephyrhills, FL
National Provider Identifier
1619203718
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 25077 Issued in FL
Practice address
7050 Gall Boulevard
Outpatient Physical Therapy Department
Zephyrhills, FL 33541
Phone
(352) 521-1193
Fax
(352) 518-1084
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 25077 FL Primary

Addresses

Primary practice location

7050 Gall Boulevard
Outpatient Physical Therapy Department
Zephyrhills, FL 33541

Mailing address

7050 Gall Boulevard
Outpatient Physical Therapy
Zephyrhills, FL 33541-2770
Phone (352) 521-1193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
PT 25077FLMDPhysical Therapist

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1619203718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 GALL BOULEVARD",
            "address_2": "OUTPATIENT PHYSICAL THERAPY",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335412770",
            "telephone_number": "352-521-1193",
            "fax_number": "352-518-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 GALL BOULEVARD",
            "address_2": "OUTPATIENT PHYSICAL THERAPY DEPARTMENT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33541",
            "telephone_number": "352-521-1193",
            "fax_number": "352-518-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "LATOSHA",
        "middle_name": "NICOLE SOLOMON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 25077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.