The Manis Group

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6118 Issued in TX

Legal business name

THE MANIS GROUP

Doing business as

Performance Health Group

Practice address

1601 N Highway 77
Waxahachie, TX 75165-7812

Phone

(214) 230-1621

Fax

(972) 935-0930

NPI assigned

Sep 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Blake Manis, PH.D.NPI 1215360490

Title

Cheif Executive Officer

Phone

(214) 230-1621

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Performance Health Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Blake Manis, PHD., BA., CLC

  • Mental Health Counselor
  • Waxahachie, TX
  • NPI 1215360490
  NPD (past) Authorized official

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1851726723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CHESTERFIELD CIR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656362",
            "telephone_number": "214-230-1621",
            "fax_number": "972-935-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N HIGHWAY 77",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657812",
            "telephone_number": "214-230-1621",
            "fax_number": "972-935-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANIS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "MANIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-230-1621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES, NPI",
            "identifier": "1215360490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES, NPI",
            "identifier": "1104817899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.