Active NPI
Keithlyn Ramirez Manayao, PT
- Physical Therapist
- Ripley, WV
National Provider Identifier
1710601919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003654
- Practice address
- 105 Court St N Ste 2
Ripley, WV 25271-1207 - Phone
- (304) 372-5913
- NPI assigned
- Sep 30, 2022
- 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 | 003654 | WV | Primary |
Addresses
Primary practice location
105 Court St N Ste 2
Ripley, WV 25271-1207
Mailing address
204 S 8TH St
Princeton, WV 24740-3145
Phone (304) 901-0963
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop/tablet | ||
| CONNECT URL | Desktop/laptop |
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 |
|---|---|---|---|
| 003654 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Physical Therapy at Home | Physical Therapist | Current | Accepting new patients |
| Jackson County Home Health, LLC | Past | Accepting new patients | |
| Rodrigo D. Rodriguez | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Aurora, CO
- NPI 1558863662
-
- Home Health Agency
- Ripley, WV
- NPI 1871759225
-
- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1740648187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1710601919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 S 8TH ST",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247403145",
"telephone_number": "304-901-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 COURT ST N STE 2",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252711207",
"telephone_number": "304-372-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANAYAO",
"first_name": "KEITHLYN",
"middle_name": "RAMIREZ",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "003654",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop/tablet",
"affiliation": "N",
"address_1": "105 Court St N Ste 2",
"city": "Ripley",
"state": "WV",
"country_code": "US",
"postal_code": "252711207",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop/laptop",
"affiliation": "N",
"address_1": "105 Court St N Ste 2",
"city": "Ripley",
"state": "WV",
"country_code": "US",
"postal_code": "252711207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ripley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.