Active NPI
Jill Ann Manners, LAT, ATC, PT, NREMT
- Athletic Trainer
- Lubbock, TX
National Provider Identifier
1760406078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001616
- Practice address
- Texas Tech University Health Sciences Center
3601 4TH St., Stop 6226
Lubbock, TX 79430 - Phone
- (806) 743-2793
- NPI assigned
- Jul 27, 2006
- Last updated
- Feb 11, 2025
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 794219 | TX | |
| Basic Emergency Medical Technician | 146N00000X | E3881703 | ||
| Physical Therapist | 225100000X | PT013778 | GA | |
| Athletic Trainer | 2255A2300X | RT006939 | PA | |
| Athletic Trainer | 2255A2300X | AT10020 | TX | |
| Athletic Trainer | 2255A2300X | AT001616 | GA | Primary |
Addresses
Primary practice location
Texas Tech University Health Sciences Center
3601 4TH St., Stop 6226
Lubbock, TX 79430
Mailing address
Texas Tech University Health Sciences Center
3601 4TH St., Stop 6226
Lubbock, TX 79430
Phone (806) 743-2793
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 |
|---|---|---|---|
| 794219 | TX | MD | Basic Emergency Medical Technician |
| PT013778 | GA | MD | Physical Therapist |
| AT001616 | GA | MD | Athletic Trainer |
| RT006939 | PA | MD | Athletic Trainer |
| AT10020 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1760406078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER",
"address_2": "3601 4TH ST., STOP 6226",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79430",
"telephone_number": "806-743-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER",
"address_2": "3601 4TH ST., STOP 6226",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79430",
"telephone_number": "806-743-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNERS",
"first_name": "JILL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "LAT, ATC, PT, NREMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "TX",
"license": "794219",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": "E3881703",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013778",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT006939",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT10020",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.