Active NPI
Manual Medicine Physical Therapy
- Physical Therapy Clinic/Center
- Raleigh, NC
National Provider Identifier
1649513177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 12160
- Legal business name
- MANUAL MEDICINE PHYSICAL THERAPY
- Practice address
- 300 W. Hargett St.
Apt. 307
Raleigh, NC 27601 - Phone
- (919) 518-3559
- NPI assigned
- Apr 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maxwell James Todoroff, PT
- Title
- President/Owner
- Phone
- (919) 518-3559
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 12160 | NC | Primary |
Addresses
Primary practice location
300 W. Hargett St.
Apt. 307
Raleigh, NC 27601
Mailing address
300 W. Hargett St.
Apt. 307
Raleigh, NC 27601
Phone (919) 518-3559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1016 Thompson St
#K
Pittsboro, NC 27312
16 W Martin St
Ste 506
Raleigh, NC 27601
707 W Jones St
Unit 1
Raleigh, NC 27603
Phone (919) 518-3559
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Pittsboro, NC
- NPI 1871826859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364947200000",
"number": "1649513177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W. HARGETT ST.",
"address_2": "APT. 307",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27601",
"telephone_number": "919-518-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W. HARGETT ST.",
"address_2": "APT. 307",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27601",
"telephone_number": "919-518-3559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUAL MEDICINE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-03",
"last_updated": "2013-04-03",
"status": "A",
"authorized_official_last_name": "TODOROFF",
"authorized_official_first_name": "MAXWELL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "919-518-3559",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NC",
"license": "12160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.