Active NPI
Manda Nofziger, DPT
- Physical Therapist
- Perrysburg, OH
National Provider Identifier
1710412069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012053
- Practice address
- 28442 E River Rd
Suite 111
Perrysburg, OH 43551-2795 - Phone
- (419) 893-7134
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012053 | OH | Primary |
Addresses
Primary practice location
28442 E River Rd
Suite 111
Perrysburg, OH 43551-2795
Mailing address
28442 E River Rd
Suite 111
Perrysburg, OH 43551-2795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012053 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1710412069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28442 E RIVER RD",
"address_2": "SUITE 111",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435512795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28442 E RIVER RD",
"address_2": "SUITE 111",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435512795",
"telephone_number": "419-893-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOFZIGER",
"first_name": "MANDA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT012053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
- New View Dental, Daniel Saffo, DMD, LLC
- Kimberly Kay Newlove
- Laura Nguyen, RN
- Jon O Nickey, P.T.
- Ryan J Niemic, DDS
- Christy Northcutt, O.D.
- Northwest Ohio Primary Care Physicians Inc
- Northwest Ohio Primary Care Physicians Inc
- Northwest Ohio Primary Care Physicians, Inc.
- Nwo Compassion Care Charities
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.