NPIMap

Organization Active NPI

Concepcion-Manalo Physical Therapy Inc.

  • Physical Therapist
  • Pinole, CA
National Provider Identifier
1649472127
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28216 Issued in CA
Legal business name
CONCEPCION-MANALO PHYSICAL THERAPY INC.
Practice address
2249 Sarah CT
Pinole, CA 94564-1861
Phone
(510) 262-0935
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Khelmer Manalo, PTNPI 1265580617
Title
President
Phone
(510) 262-0935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT28216 CA Primary

Addresses

Primary practice location

2249 Sarah CT
Pinole, CA 94564-1861

Mailing address

2249 Sarah CT
Pinole, CA 94564-1861
Phone (510) 262-0935

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649472127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 SARAH CT",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641861",
            "telephone_number": "510-262-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 SARAH CT",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641861",
            "telephone_number": "510-262-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPCION-MANALO PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "KHELMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-262-0935",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.