Active NPI
Meghan Manno
- Athletic Trainer
- Philadelphia, PA
National Provider Identifier
1912662289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1516 N 15TH St Apt 306
Philadelphia, PA 19121-5404 - Phone
- (443) 966-1651
- NPI assigned
- Nov 2, 2021
- Last updated
- Nov 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
1516 N 15TH St Apt 306
Philadelphia, PA 19121-5404
Mailing address
212 Meadow Rd
Bel Air, MD 21014-1911
Phone (443) 966-1651
Other practice location 1
212 Meadow Rd
Bel Air, MD 21014-1911
Phone (443) 966-1651
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Gmail | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1912662289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 MEADOW RD",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210141911",
"telephone_number": "443-966-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 N 15TH ST APT 306",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191215404",
"telephone_number": "443-966-1651"
}
],
"practiceLocations": [
{
"address_1": "212 Meadow Rd",
"address_purpose": "LOCATION",
"city": "Bel Air",
"state": "MD",
"postal_code": "210141911",
"country_code": "US",
"telephone_number": "443-966-1651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANNO",
"first_name": "MEGHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Gmail",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "212 Meadow Rd",
"city": "Bel Air",
"state": "MD",
"country_code": "US",
"postal_code": "210141911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.