Active NPI
Timothy Gerard Mannino, D.C.
- Chiropractor
- Fairview, PA
National Provider Identifier
1851367908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-4658-L
- Practice address
- 7686 W Ridge Rd
Fairview, PA 16415-1074 - Phone
- (814) 474-5588
- Fax
- (814) 474-5589
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-4658-L | PA | Primary |
Addresses
Primary practice location
7686 W Ridge Rd
Fairview, PA 16415-1074
Mailing address
7686 W Ridge Rd
PO Box 369
Fairview, PA 16415-0369
Phone (814) 474-5588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-4658-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
| Progressive Chiropractic & Injury Ctr, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Fairview, PA
- NPI 1225068976
-
- Chiropractor
- Fairview, PA
- NPI 1235396672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851367908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7686 W RIDGE RD",
"address_2": "PO BOX 369",
"city": "FAIRVIEW",
"state": "PA",
"postal_code": "164150369",
"telephone_number": "814-474-5588",
"fax_number": "814-474-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7686 W RIDGE RD",
"city": "FAIRVIEW",
"state": "PA",
"postal_code": "164151074",
"telephone_number": "814-474-5588",
"fax_number": "814-474-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNINO",
"first_name": "TIMOTHY",
"middle_name": "GERARD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-4658-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairview, PA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.