Individual provider Active NPI

Manish Reddy Dabbi

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1760350862
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
055868 Issued in NY
Practice address
2550 Victory Blvd Ste 301
Staten Island, NY 10314-6635
Phone
(718) 761-0017
Fax
(718) 761-0017
NPI assigned
Oct 29, 2025
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 014463 NY
Physical Therapist 225100000X 055868 NY Primary

Addresses

Primary practice location

2550 Victory Blvd Ste 301
Staten Island, NY 10314-6635

Mailing address

653 Ny 211 East
Scothtown, NY 10941
Phone (917) 318-5303

Other practice location 1

653 NY 211 East
Scothtown, NY 10941
Phone (917) 318-5303

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

LicenseStateTypeSpecialty
014463NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Physical Therapy, P.C. Physical Therapist PastSince Dec 1, 2016 Accepting new patients
Bridgeview Physical Therapy, P.C. Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1760350862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 NY 211 EAST",
            "city": "SCOTHTOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "917-318-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 VICTORY BLVD STE 301",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146635",
            "telephone_number": "718-761-0017",
            "fax_number": "718-761-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 NY 211 East",
            "address_purpose": "LOCATION",
            "city": "Scothtown",
            "state": "NY",
            "postal_code": "10941",
            "country_code": "US",
            "telephone_number": "917-318-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABBI",
        "first_name": "MANISH",
        "middle_name": "REDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "014463",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "055868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.