Robby Xavier Manatt, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028342 Issued in NY

Practice address

7624 Springfield Blvd
# 147B1
Bayside, NY 11364-3023

Phone

(973) 900-0460

NPI assigned

Jan 22, 2019

Sex

Male

Sole proprietor

Yes

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

• Manatt Robby Xavier Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1134575848
  Medicare reassignment NPD Authorized official
• Manatt Associates, LLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1922805159
  NPD Authorized official

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1689148801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 GRAND AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076052111",
            "telephone_number": "973-900-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7624 SPRINGFIELD BLVD",
            "address_2": "# 147B1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643023",
            "telephone_number": "973-900-0460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-2287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANATT",
        "first_name": "ROBBY",
        "middle_name": "XAVIER",
        "name_prefix": "Mr.",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14394752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANATT",
            "last_name": "XAVIER",
            "middle_name": "ROBBY",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sangeeta Malhotra
• Mona Mallemat, MS OTR/L MPH
• Christine Malysz
• Mamie Lipari, M.D. P.C.
• Christina Manaridis
• Mary De Leon Mandawe
• Jared Benjamin Mandel, D.C.
• Kostas Mandelos, LMSW
• Jeannette Mangiere, LCSW
• Alice Mangru

• Physical Therapist in Bayside, NY
• Providers in Bayside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.