Poonam Manasa, M.D. P.a.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

POONAM MANASA, M.D. P.A.

Practice address

2041 Sundance Pkwy
New Braunfels, TX 78130-2779

Phone

(727) 560-0522

NPI assigned

Aug 27, 2012

Last updated

Aug 27, 2012By 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

Poonam M. Manasa, M.D.NPI 1659574556

Title

Owner

Phone

(727) 560-0522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Poonam Mehta Manasa, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1659574556
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1679821516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 OLD COACH DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302665",
            "telephone_number": "727-560-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 SUNDANCE PKWY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302779",
            "telephone_number": "727-560-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POONAM MANASA, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "MANASA",
        "authorized_official_first_name": "POONAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-560-0522",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Anson Pollan, D.O., MPH
• Karen Polson
• Eva Pompa
• Alisha Ann Ponce, PT, DPT
• Rachel Ponder
• Abigail Popp, DC
• Lisa Anne Poppen, MA, LPC
• Edward A Porrata, M.D.
• Post Acute Medical of New Braunfels, LLC (PAM Specialty Hospital of New Braunfels)
• Richard Jordan Post, M.D.

• Physical Medicine & Rehabilitation Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.