Individual provider Active NPI

Ranelyn Manoto, RPT

  • Physical Therapist
  • Far Rockaway, NY
National Provider Identifier
1790734580
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026339 Issued in NY
Practice address
250 Beach 17TH St
Far Rockaway, NY 11691-4420
Phone
(718) 471-7581
Fax
(718) 327-5506
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 026339 NY Primary

Addresses

Primary practice location

250 Beach 17TH St
Far Rockaway, NY 11691-4420

Mailing address

6544 182ND St
Fresh Meadows, NY 11365-2146
Phone (718) 353-4868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416001549 NY Order and Referring Only - Physical Therapist in Private Practice 3779059878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026339NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Management Consulting and Rehabilitation Services LLC Physical Therapist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790734580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 182ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652146",
            "telephone_number": "718-353-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BEACH 17TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914420",
            "telephone_number": "718-471-7581",
            "fax_number": "718-327-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOTO",
        "first_name": "RANELYN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.