Individual provider Active NPI

Eric Manalansan

  • Physical Therapist
  • Richardson, TX
National Provider Identifier
1881766178
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1066967 Issued in TX
Practice address
210 W Campbell Rd
Richardson, TX 75080-3512
Phone
(469) 709-4178
Fax
(972) 979-6951
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1066967 TX Primary

Addresses

Primary practice location

210 W Campbell Rd
Richardson, TX 75080-3512

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3905 Victory Dr
Frisco, TX 75034-6331
Phone (214) 618-3918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720001553 TX Practitioner - Physical Therapist in Private Practice 5193185239 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16300 Addison Rd
Addison, TX 75001-5315
Phone (972) 532-9576

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
89.74
Improvement activities
40
Cost
61.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bodymastr, PLLC CurrentSince Mar 5, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Apr 29, 2024 Accepting new patients
DTM Wellness PLLC CurrentSince May 1, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

16300 Addison Rd
Ste 300
Addison, TX 75001
Phone (972) 532-9576

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

16300 Addison Rd
Ste 120
Addison, TX 75001
Phone (972) 532-9576

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

308 Coit Rd
Ste 400
Plano, TX 75075
Phone (469) 573-9606

4709 W Parker Rd
Ste 460
Plano, TX 75093
Phone (469) 440-5420

210 W Campbell Rd
Richardson, TX 75080
Phone (469) 709-4178

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

601 Shelley Park Plz
Tyler, TX 75701
Phone (903) 385-3859

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1881766178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803512",
            "telephone_number": "469-709-4178",
            "fax_number": "972-979-6951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 Victory Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750346331",
            "country_code": "US",
            "telephone_number": "214-618-3918",
            "fax_number": "214-618-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANALANSAN",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1066967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.