Active NPI
Lisa B Manley, DPT
- Pediatric Physical Therapist
- Rockport, ME
National Provider Identifier
1881171585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT3063
- Practice address
- 6 Glen Cove Dr
Rockport, ME 04856-4272 - Phone
- (207) 301-6091
- Fax
- (207) 301-5266
- NPI assigned
- Jul 25, 2018
- Last updated
- Feb 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT3063 | ME | Primary |
Addresses
Primary practice location
6 Glen Cove Dr
Rockport, ME 04856-4272
Mailing address
6 Glen Cove Dr
Rockport, ME 04856-4273
Phone (207) 921-6395
Other practice location 1
4 Glen Cove Dr Ste 201
Rockport, ME 04856-4238
Phone (207) 301-5757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Riverfront PLZ
Westbrook, ME 04092-9700
PO Box
Pittsburgh, PA 15251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3063 | ME | MD | Pediatric Physical Therapist |
Organizations & group practices 1
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": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1881171585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GLEN COVE DR",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564273",
"telephone_number": "207-921-6395",
"fax_number": "207-921-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GLEN COVE DR",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564272",
"telephone_number": "207-301-6091",
"fax_number": "207-301-5266"
}
],
"practiceLocations": [
{
"address_1": "4 Glen Cove Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Rockport",
"state": "ME",
"postal_code": "048564238",
"country_code": "US",
"telephone_number": "207-301-5757",
"fax_number": "207-301-5357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANLEY",
"first_name": "LISA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "ME",
"license": "PT3063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.