Maxicare Therapy and Wellness of Dallas

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAXICARE THERAPY AND WELLNESS OF DALLAS

Practice address

1701 N Collins Blvd Ste 330
Richardson, TX 75080-3602

Phone

(214) 774-2323

Fax

(469) 375-5357

NPI assigned

Dec 20, 2019

Last updated

Jan 6, 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

Miss Annabel Aquino Manabat, RPTNPI 1952720278

Title

Physical Therapist

Phone

(773) 853-1833

Specialties & licenses 1

Addresses

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.

• Annabel Aquino Manabat, P.T.

  • Physical Therapist
  • Allen, TX
  • NPI 1952720278
  NPD Authorized official

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1689212649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 HARVEST RUN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024589",
            "telephone_number": "214-774-2323",
            "fax_number": "469-375-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N COLLINS BLVD STE 330",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803602",
            "telephone_number": "214-774-2323",
            "fax_number": "469-375-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXICARE THERAPY AND WELLNESS OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "MANABAT",
        "authorized_official_first_name": "ANNABEL",
        "authorized_official_middle_name": "AQUINO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-853-1833",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matrix Rehabilitation- Texas, Inc (MATRIX Orthopedic and Sports Therapy)
• Matrix Rehabilitation-Texas, Inc. (MATRIX Rehabilitation of Garland)
• Keegan Mattox, PHARMD
• Amber Maupin, NNP-BC
• Maureen McGeehan, MD, PA
• Michael Maxwell, PHD
• Yolanda Y May, MT
• Adrienne Denise Mays, DDS
• Mehrdad Mazaheri, MD
• MB Wellness Associates PLLC

• Physical Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.