Active NPI
Judy Tricia Manalili
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1770062796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025210
- Practice address
- 48 Cedar St
Brooklyn, NY 11221-3253 - Phone
- (718) 928-3514
- NPI assigned
- Aug 9, 2018
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 025210 | NY | Primary |
Addresses
Primary practice location
48 Cedar St
Brooklyn, NY 11221-3253
Mailing address
48 Cedar St
Brooklyn, NY 11221-3253
Phone (718) 928-3514
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1770062796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 CEDAR ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112213253",
"telephone_number": "718-928-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 CEDAR ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112213253",
"telephone_number": "718-928-3514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALILI",
"first_name": "JUDY TRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.