Active NPI
Brent Manley, DPT
- Physical Therapist
- New Fairfield, CT
National Provider Identifier
1619352275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10520
- Practice address
- 96 Route 37
New Fairfield, CT 06812-4804 - Phone
- (203) 312-0211
- NPI assigned
- Jul 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10520 | CT | Primary |
| Physical Therapist | 225100000X | PT4419 | ME |
Addresses
Primary practice location
96 Route 37
New Fairfield, CT 06812-4804
Mailing address
96 Route 37
New Fairfield, CT 06812
Phone (203) 312-0211
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4419 | ME | MD | Physical Therapist |
| 10520 | CT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1619352275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 ROUTE 37",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "06812",
"telephone_number": "203-312-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 ROUTE 37",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068124804",
"telephone_number": "203-312-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "BRENT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-24",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10520",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT4419",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.