Individual provider Active NPI

Hilary Manges

  • Physical Therapist
  • New Canaan, CT
National Provider Identifier
1619519816
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008121 Issued in CT
Practice address
30 Vitti St
New Canaan, CT 06840-4823
Phone
(203) 594-7771
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 008121 CT Primary

Addresses

Primary practice location

30 Vitti St
New Canaan, CT 06840-4823

Mailing address

104 Salem Rd
New Canaan, CT 06840-4317
Phone (203) 524-3688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414002431 CT Practitioner - Physical Therapist in Private Practice 8325478407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Physical TherapyGroup PAC ID 7012314487, 2 clinicians

Practice addresses (Care Compare)

30 Vitti St
New Canaan, CT 06840-4823
Phone (203) 594-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008121CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Physical Therapy Physical Therapist CurrentSince Dec 17, 2021 Accepting new patients

Locations

30 Vitti St
New Canaan, CT 06840
Phone (203) 594-1481

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1619519816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SALEM RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404317",
            "telephone_number": "203-524-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 VITTI ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404823",
            "telephone_number": "203-594-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGES",
        "first_name": "HILARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.