Ella Mantiply, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13738 Issued in AZ

Practice address

15543 N Reems Rd Ste 133
Surprise, AZ 85374

Phone

(623) 975-5374

NPI assigned

Jun 14, 2016

Last updated

May 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ella Miller Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountainside Physical Therapy IncGroup PAC ID 3476622218, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountainside Physical Therapy Inc

  • Physical Therapist
  • Washington, VA
  • NPI 1588833230
  Medicare reassignment Care Compare group NPD
• Lakeside Manual Physical Therapy Inc.

  • Physical Therapist
  • Unionville, VA
  • NPI 1659486603
  Medicare reassignment
• Healthy Weight Options, LLC

  • Health Service Clinic/Center
  • Bergton, VA
  • NPI 1831610880
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1619327343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 S MOUNTAIN PKWY STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446691",
            "telephone_number": "480-706-1161",
            "fax_number": "480-706-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15543 N REEMS RD STE 133",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-975-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTIPLY",
        "first_name": "ELLA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210325",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VIRGINIA",
            "identifier": "2305210325",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLA",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Max Mangabat, DPT
• Tanya Mangini
• Harleen Manhas, RBT
• Bradley Duncan Manning
• Jennifer Mansfield
• Daryl R Marcelo, D.O.
• Gabriela Marchis
• Ryan Dennis Marco, PHARMD
• Eric Daniel Marcotte, D.C.
• Carrie Mardula, LPC

• Physical Therapist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.