Anna Manelis, DPT, PH.D.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42804 Issued in FL

Practice address

9601 Southbrook Dr
Jacksonville, FL 32256-0601

Phone

(448) 234-2490

NPI assigned

Feb 5, 2025

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Cheremnykh Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Coast Neuro, LLCGroup PAC ID 9830417948, 3 clinicians

Vjwdc, IncGroup PAC ID 0547588659, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20866/brand/1/csg/1/fhir/r4

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.

• East Coast Neuro LLC

  dba East Coast Injury Clinic

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1124424643

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Vjwdc, Inc

  dba East Coast Elite Care

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1578223764
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1780498071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHARLIE WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320957542",
            "telephone_number": "848-467-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 SOUTHBROOK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560601",
            "telephone_number": "448-234-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANELIS",
        "first_name": "ANNA",
        "credential": "DPT, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "42804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "CHEREMNYKH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.