Mana Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MANA PHYSICAL THERAPY, PLLC

Doing business as

MANA Physical Therapy

Practice address

12662 Jersey Cir E
Thornton, CO 80602-4658

Phone

(720) 213-5513

NPI assigned

Jul 8, 2020

Last updated

Jul 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maura Sundseth, DPTNPI 1295060689

Title

Owner

Phone

(720) 213-5513

Specialties & licenses 1

Addresses

Other names 1

• MANA Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maura E Sundseth, DPT

  • Physical Therapist
  • Thornton, CO
  • NPI 1295060689
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1679191449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12662 JERSEY CIR E",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806024658",
            "telephone_number": "720-213-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12662 JERSEY CIR E",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806024658",
            "telephone_number": "720-213-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "SUNDSETH",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-213-5513",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANA Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brett Malin, RN
• Elizabeth Anna Mallon, CPNP-PC
• Lorraine M Malonson, PA
• Donald Maloy
• Laura Elizabeth Malsam
• Jennifer Manchester, FNP
• Susanna C Mandics, MSW, LCSW
• Laura Mangers, OD
• Heather Mangold, LPC
• Laura Mannie, LSW

• Physical Therapy Clinic/Center in Thornton, CO
• Providers in Thornton, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.

Verify at the official NPI Registry.