Karen Ann Manfredonia, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000007151 Issued in TN

Practice address

673 Shelley Renee LN
Cordova, TN 38018-4366

Phone

(310) 977-6674

NPI assigned

Feb 9, 2007

Last updated

Apr 9, 2023By 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

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

California University of Science and Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Smith Clinic for Physical TherapyGroup PAC ID 1456253715, 3 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.

• The Smith Clinic for Physical Therapy

  • Physical Therapist
  • Cordova, TN
  • NPI 1902823453
  Medicare reassignment Care Compare group NPD
• Vibrantcare Outpatient Rehabilitation of California Inc

  dba VibrantCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Castro Valley, CA
  • NPI 1083618573
  NPD (past)
• Vibrantcare Outpatient Rehabilitation of California, Inc.

  • Physical Therapy Clinic/Center
  • Santa Ana, CA
  • NPI 1487688008
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680998400000",
    "number": "1649311903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 SHELLEY RENEE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184366",
            "telephone_number": "310-977-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 SHELLEY RENEE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184366",
            "telephone_number": "310-977-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDONIA",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-04-09",
        "certification_date": "2023-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24660",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000007151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul R. Malanga, PH.D
• Nicole R Maliga, COTA
• Christine Newberry Malone, MASTER DEGREE IN NUR
• Jaliyah Malone
• Keneisha Malone, BCBA, LBA
• Cooper Scott Manley, DO
• Melissa Manuel, FNP
• Nicole Marion
• Larissa S Marquez
• Raven Marshall

• Physical Therapist in Cordova, TN
• Providers in Cordova, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; 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.