Individual provider Active NPI

Manoj Varghese Thomas, MPT

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1871626325
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022228-1 Issued in NY
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20050822001022 NY Practitioner - Physical Therapist in Private Practice 1456382274 Reassigns benefits to 2 organizations

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
New York Spine and Sport Rehabilitation Medicine PCGroup PAC ID 9537050125, 3 clinicians

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

LicenseStateTypeSpecialty
022228-1NYMDPhysical Therapist
022228NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespire, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Lifespire, Inc. CurrentSince Jan 1, 2014 Accepting new patients
New York Spine & Sport Rehabilitation Medicine P.C. CurrentSince Jun 25, 2015 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 PastSince Dec 11, 2013 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.

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.

Verify at the official NPI Registry.