Whitney Marie Manges, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32476 Issued in FL

Practice address

2030 S Patrick Dr Ste 3
Indian Harbour Beach, FL 32937-4400

Phone

(321) 802-5810

Fax

(321) 802-5811

NPI assigned

May 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Whitney Marie Mathews Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• First Choice Medical Group of Brevard LLC

  dba First Choice Medical Group

  • Orthopaedic Surgery Physician
  • Merritt Island, FL
  • NPI 1578846564
  Medicare reassignment NPD

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1790213379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "321-725-2225",
            "fax_number": "321-802-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S PATRICK DR STE 3",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374400",
            "telephone_number": "321-802-5810",
            "fax_number": "321-802-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5445 Murrell Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Viera",
            "state": "FL",
            "postal_code": "329556679",
            "country_code": "US",
            "telephone_number": "321-802-5810",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 Ron Beatty Blvd Ste A-2",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329767473",
            "country_code": "US",
            "telephone_number": "321-802-5806",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 S Harbor City Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011936",
            "country_code": "US",
            "telephone_number": "321-802-5810 x131",
            "fax_number": "321-802-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGES",
        "first_name": "WHITNEY",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "MATHEWS",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Otto Mabry Jr, D.P.M.
• Carly Mace, APRN
• Mandese Family Chiropractic L.L.C.
• Leann J. Mandese, O.D.
• Mario Joseph Mandese, D.C.
• Clement L Mansion III
• Sara Markle, RD
• Kelly Lyn Martinkus, M.D.
• Ken Matthys, PHARMD
• Mary Catherine McGone, PTA

• Physical Therapist in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.