Active NPI
Daniel George Manfre, PT
- Physical Therapist
- Plant City, FL
National Provider Identifier
1639682115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5219
- Practice address
- 1214 W Reynolds St Ste 1
Plant City, FL 33563-4300 - Phone
- (813) 754-1062
- Fax
- (813) 759-8254
- NPI assigned
- Nov 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5219 | FL | Primary |
Addresses
Primary practice location
1214 W Reynolds St Ste 1
Plant City, FL 33563-4300
Mailing address
1214 W Reynolds St Ste 1
Plant City, FL 33563-4300
Phone (813) 754-1062
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5219 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Rehabilitation, Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Plant City, FL
- NPI 1841217833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1639682115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 W REYNOLDS ST STE 1",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335634300",
"telephone_number": "813-754-1062",
"fax_number": "813-759-8254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 W REYNOLDS ST STE 1",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335634300",
"telephone_number": "813-754-1062",
"fax_number": "813-759-8254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANFRE",
"first_name": "DANIEL",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT5219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.