Active NPI
Manish Reddy Dabbi
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1760350862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 055868
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 014463 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victory Physical Therapy, P.C. | Physical Therapist | Past | 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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1730305087
-
- Physical Therapist
- Staten Island, NY
- NPI 1659595254
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.