Amy N Manning, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PENDING Issued in WV

Practice address

109-B Doctor's Drive
Bridgeport, WV 26330-0000

Phone

(304) 842-7720

Fax

(304) 842-7722

NPI assigned

Apr 26, 2011

Last updated

Jun 11, 2015By the provider in NPPES

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 names 1

• Amy N Lilly Former name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.66 of 100Reported as group

Quality

80

Improvement activities

40

Cost

75.52

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Country Roads Physical Therapy and Rehabilitation

  • Physical Therapist
  • Fairmont, WV
  • NPI 1831147297
  Medicare reassignment NPD
• Dynamic Physical Therapy, Inc

  dba Fyzical Therapy and Balance Centers

  • Physical Therapist
  • Morgantown, WV
  • NPI 1487647004
  NPD (past)

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1699066654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 GREEN VALLEY RD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309815",
            "telephone_number": "304-641-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109-B DOCTOR'S DRIVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300000",
            "telephone_number": "304-842-7720",
            "fax_number": "304-842-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "AMY",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LILLY",
            "middle_name": "N",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Majewski, MSW, LICSW
• James E Malone, D.O.
• Manchin Clinic of Bridgeport
• Daniel Mandel, MD
• Josalyn Marie Mann, D.O.
• Ashley Nicole Mansberry
• Maplewood
• Maplewood SNF LLC (Mapelwood Rehabilitation & Healthcare Center)
• Megan Marchio
• Nadia Mardmomen, DDS

• Physical Therapist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.