Organization Active NPI

Manual Physical Therapy Specialists PLLC

  • Orthopedic Physical Therapist
  • Penfield, NY
National Provider Identifier
1871332643
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
MANUAL PHYSICAL THERAPY SPECIALISTS PLLC
Practice address
421 Penbrooke Dr Ste 1
Penfield, NY 14526-2045
Phone
(215) 350-5181
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Eric Matthew Keene, PT, DPT, OCS, CFMTNPI 1356706691
Title
Owner
Phone
(215) 350-5181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

421 Penbrooke Dr Ste 1
Penfield, NY 14526-2045

Mailing address

15 Bromley Rd
Pittsford, NY 14534-2933
Phone (215) 350-5181

National Provider Directory

National Provider Directory

Locations

421 Penbrooke Dr
Ste 1
Penfield, NY 14526
Phone (215) 350-5181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1871332643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BROMLEY RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342933",
            "telephone_number": "215-350-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PENBROOKE DR STE 1",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262045",
            "telephone_number": "215-350-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL PHYSICAL THERAPY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-350-5181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS, CFMT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.