Individual provider Active NPI

Manisha Z Kapasi, PT PHD CHT

  • Physical Therapist
  • Johns Creek, GA
National Provider Identifier
1639289408
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1609 Issued in GA
Practice address
9700 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-4409
Phone
(770) 623-0105
Fax
(678) 377-1737
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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 1609 GA Primary

Addresses

Primary practice location

9700 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-4409

Mailing address

9700 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-4409
Phone (770) 623-0105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000445 GA Practitioner - Physical Therapist in Private Practice 8325029523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Hand and Physical Therapy ClinicGroup PAC ID 4981685187, 2 clinicians

Practice addresses (Care Compare)

1430 Five Forks Trickum Rd
Suite 210
Lawrenceville, GA 30044-8183
Phone (678) 377-1738

9700 Medlock Bridge Rd
Suite 150
Johns Creek, GA 30097-4409
Phone (770) 623-0105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1609GAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Hand and Physical Therapy Clinic Physical Therapist CurrentSince Mar 9, 2001 Accepting new patients
Activcore Health Network LLC Physical Therapist PastSince Apr 1, 2022 Accepting new patients

Locations

9700 Medlock Bridge Rd
Ste 150
Johns Creek, GA 30097
Phone (404) 271-8432

10700 Medlock Bridge Rd
Ste 105
Johns Creek, GA 30097
Phone (770) 623-0105

1430 Five Forks Trickum Rd
Ste 210
Lawrenceville, GA 30044
Phone (678) 377-1738

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1639289408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974409",
            "telephone_number": "770-623-0105",
            "fax_number": "770-623-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974409",
            "telephone_number": "770-623-0105",
            "fax_number": "678-377-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPASI",
        "first_name": "MANISHA",
        "middle_name": "Z",
        "name_prefix": "Mrs.",
        "credential": "PT PHD CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.