Tali Marie Manthey, MPT
Individual provider Active NPI Physical Therapist · Nuevo, CA
NPI 1740370477 · NPPES record last updated Mar 27, 2012
Key facts
- NPI
- 1740370477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 25665 (CA)
- Practice address
- 30099 Reservoir Ave
Nuevo, CA 92567-9779 - Phone
- (951) 928-0773
- Fax
- (951) 928-2535
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walker Physical Therapy, Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25665 | CA | Yes |
Addresses
Primary practice location
30099 Reservoir Ave
Nuevo, CA 92567-9779
Mailing address
30099 Reservoir Ave
Nuevo, CA 92567-9779
Phone (951) 928-0773
Other providers in Nuevo, CA
- John Allen Kopack
- Lionheart Recovery Services LLC
- Living Stones Recovery LLC
- John Scott Livingstone
- Mardetta Kay Lynch
- Tricia McDougall
- Diana Esther Medina
- Berenice Mejia-Perez
- Nuevo Smile Dental Care
- Nuevo Smile Dental Management Corporation
All providers in Nuevo, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.