Susan Elizabeth Manley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2017021210 Issued in MO

Practice address

600 NW Pryor Rd
Lees Summit, MO 64081-1104

Phone

(816) 347-2404

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1770352023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 SW 10TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813716",
            "telephone_number": "816-216-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW PRYOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811104",
            "telephone_number": "816-347-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05616",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017021210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mama Is Universal
• Theresa Grace Mangler
• Tracy Manikone Manhnieo, MSN, APRN, FNP-C
• Manicure Nurse LLC
• Manicure Nurse LLC
• Gina M Mannino, PHARM.D.
• Mark A Mannon, ATC
• David Rene Mantilla, MD
• Glenda G Manville, MS
• Sarah Veridiana March, OTR

• Physical Therapist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.