Active NPI
Cristin J Manning, PTA
- Physical Therapy Assistant
- Fort Montgomery, NY
National Provider Identifier
1750668067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 004152-1
- Practice address
- 13 Wildwood Ridge
Fort Montgomery, NY 10922-0767 - Phone
- (914) 960-1638
- NPI assigned
- Nov 15, 2011
- Last updated
- Apr 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 004152-1 | NY | Primary |
Addresses
Primary practice location
13 Wildwood Ridge
Fort Montgomery, NY 10922-0767
Mailing address
PO Box 767
Fort Montgomery, NY 10922-0767
Phone (914) 960-1638
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004152-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1750668067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 767",
"city": "FORT MONTGOMERY",
"state": "NY",
"postal_code": "109220767",
"telephone_number": "914-960-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 WILDWOOD RIDGE",
"city": "FORT MONTGOMERY",
"state": "NY",
"postal_code": "109220767",
"telephone_number": "914-960-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "CRISTIN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "004152-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Montgomery, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.