Dena Jane Manka, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14636 Issued in CA

Practice address

1551 Giuntoli LN
Arcata, CA 95521-4495

Phone

(707) 825-8100

Fax

(707) 825-8101

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dena Jane Lundgren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1679814362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 GIUNTOLI LN",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214495",
            "telephone_number": "707-825-8100",
            "fax_number": "707-825-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 GIUNTOLI LN",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214495",
            "telephone_number": "707-825-8100",
            "fax_number": "707-825-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKA",
        "first_name": "DENA",
        "middle_name": "JANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "14636",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "LUNDGREN",
            "middle_name": "JANE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kate Maguire
• Bo Maietta
• Marya Maknieh
• Amanda Mandel Martignago Burns
• Michael Francis Mangahas, M.S., M.D.
• Alesha Manriquez, MSW
• Karen Louise March, MD
• Samantha Marin
• Vanessa Marnewecke, M.A.
• Langdon Tyrone Martin

• Physical Therapist in Arcata, CA
• Providers in Arcata, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.