Luigi Manzolillo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC00321 Issued in RI

Practice address

280 Broadway
Providence, RI 02903-3007

Phone

(401) 273-0046

Fax

(401) 273-4100

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthopedic Appliance & Brace Center Inc.

  • Prosthetic/Orthotic Supplier
  • Providence, RI
  • NPI 1376690982
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1861486847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033007",
            "telephone_number": "401-273-0046",
            "fax_number": "401-273-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033007",
            "telephone_number": "401-273-0046",
            "fax_number": "401-273-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZOLILLO",
        "first_name": "LUIGI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DC00321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "35440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "4400054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony L Mansell, MD
• Bernadette Mansfield, NPP
• Rishik Manthana
• Ariel Manzo
• Manzolillo Chiropractic Center Inc.
• Map Behavioral Health Group
• Map Behavioral Health Services Inc.
• Map Behavioral Health Services, Inc
• Muhammad Haisum Maqsood, MD
• Johnathan Andrew Marasco, MD

• Chiropractor in Providence, RI
• Providers in Providence, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.