Max Manson

Primary specialty

Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X

Practice address

11150 Fairfax Blvd Ste 502
Fairfax, VA 22030-5066

Phone

(571) 422-3927

NPI assigned

Feb 4, 2022

Last updated

Feb 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1790439206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S EATON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 FAIRFAX BLVD STE 502",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305066",
            "telephone_number": "571-422-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S Eaton St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212244307",
            "country_code": "US",
            "telephone_number": "443-610-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSON",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "007953781",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Manning, MA, CCC-SLP
• Skylar Manning, DPT
• Anup Manoharan, M.D.
• Manor Care-Fair Oaks of Fairfax VA LLC (ProMedica Skilled Nursing and Rehabilitation (Fair Oaks))
• Sandra M Mansfield, LCSW
• Darlene Mansoor, M.D.
• Renu Sharaf Mansukhani, M.D.
• Diane Mantos, RN, BSN, CCM
• Alison Beth Mantua, PA-C
• Aileen Marie Mapalo, OT

• Blind Rehabilitation Specialist/Technologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Blind Rehabilitation Specialist/Technologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.