Active NPI
Manoj Varghese Thomas, MPT
- Physical Therapist
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022228-1
- Practice address
- 25-19 Astoria Blvd
Astoria, NY 11102 - Phone
- (718) 278-2500
- Fax
- (718) 278-0600
- NPI assigned
- Mar 13, 2007
- Last updated
- Sep 11, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022228-1 | NY | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 022228 | NY |
Addresses
Primary practice location
25-19 Astoria Blvd
Astoria, NY 11102
Mailing address
25-19 Astoria Blvd
Astoria, NY 11102
Phone (718) 278-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 Waters PL
Suite 710
Bronx, NY 10461-2733
Phone (718) 794-0600
984 N Broadway
Suite 510
Yonkers, NY 10701-1308
Phone (718) 794-0600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022228-1 | NY | MD | Physical Therapist |
| 022228 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespire, Inc. | Current | Accepting new patients | |
| Lifespire, Inc. | Current | Accepting new patients | |
| New York Spine & Sport Rehabilitation Medicine P.C. | Current | Accepting new patients | |
| Serenity Chiropractic Healthcare | Past | Accepting new patients | |
| Encompass Health Rehabilitation Hospital of Florence, Inc. | Past | Accepting new patients | |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444
1250 Waters Pl
Ste 710
Bronx, NY 10461
Phone (718) 684-5727
16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700
159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600
800 2nd Ave
Fl 9
New York, NY 10017
Phone (212) 539-0257
984 N Broadway
Ste 510
Yonkers, NY 10701
Phone (718) 794-0600
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1942423579
-
- Clinic/Center
- New York, NY
- NPI 1497709166
-
- Rehabilitation Hospital Unit
- Astoria, NY
- NPI 1255664777
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
-
- Chiropractor
- Astoria, NY
- NPI 1396984076
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
-
dba Encompass Health Rehabilitation Hospital of Florence
- Rehabilitation Hospital
- Florence, SC
- NPI 1598738296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1871626325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25-19 ASTORIA BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11102",
"telephone_number": "718-278-2500",
"fax_number": "718-278-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25-19 ASTORIA BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11102",
"telephone_number": "718-278-2500",
"fax_number": "718-278-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MANOJ",
"middle_name": "VARGHESE",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022228-1",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "022228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.