Rene Soan Manuel, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1047017 Issued in TX

Practice address

8333 9TH Ave
Suite D
Port Arthur, TX 77642-8083

Phone

(409) 729-8111

Fax

(409) 729-8114

NPI assigned

Aug 14, 2007

Last updated

Aug 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• 9TH Avenue Physical Therapy, PLLC

  dba Park Plaza Physical Therapy

  • Physical Therapy Clinic/Center
  • Port Arthur, TX
  • NPI 1568538049
  Authorized official Same address or phone

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1780876870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776191488",
            "telephone_number": "409-466-7139",
            "fax_number": "409-729-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 9TH AVE",
            "address_2": "SUITE D",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428083",
            "telephone_number": "409-729-8111",
            "fax_number": "409-729-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "RENE",
        "middle_name": "SOAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1047017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98ME",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00690Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8E0318",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Lee Maccallum, LPC
• Pooja Madan, DDS
• Jared Clark Mallory, P.T.
• Arnold O Manske, MD
• Brooke Ann Manuel, FNP
• Margaret Lang-Williams, MD PA
• Marian Tan Medical Group LTD LLP (The Childrens Health Center)
• Roy R Marrero Jr., MD
• Marsha E. Thigpen, MD
• Martin Martin & Associates PA

• Physical Therapist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.