Stephen Evangello Martin Manuel, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03638F Issued in LA

Practice address

5438 Odonovan Dr
Suite 100
Baton Rouge, LA 70808-4364

Phone

(225) 769-0818

Fax

(225) 769-0819

NPI assigned

Jul 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Fitness Therapy LLCGroup PAC ID 8224198262, 2 clinicians

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.

• Life Fitness Therapy LLC

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
  • NPI 1821254079

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1699794768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 ODONOVAN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084364",
            "telephone_number": "225-769-0818",
            "fax_number": "225-769-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 ODONOVAN DR",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084364",
            "telephone_number": "225-769-0818",
            "fax_number": "225-769-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "STEPHEN EVANGELLO",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT03638F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine H Manton, LPC
• Chad McNair Manuel, MD
• Grace Manuel
• Lisa J Manuel, PSS
• Sadie Manuel
• Sarah Marcantel Manville
• David Wayne Manzella, CRNA
• Fran Messina Manzullo
• Madison Grace Mapes
• Maples LLC

• Physical Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.