Active NPI
Manan Patel
- Physical Therapist
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012222
- Practice address
- 1790 Mulkey Rd Ste 1314
Austell, GA 30106-1416 - Phone
- (770) 742-6468
- NPI assigned
- Jun 18, 2010
- Last updated
- Sep 5, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012222 | GA | Primary |
Addresses
Primary practice location
1790 Mulkey Rd Ste 1314
Austell, GA 30106-1416
Mailing address
1790 Mulkey Rd Ste 1314
Austell, GA 30106-1416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4245 Johns Creek Pkwy
Suite E
Suwanee, GA 30024-9122
Phone (770) 742-6468
9635 Ventana Way
Suite 201
Johns Creek, GA 30022-8622
Phone (404) 446-4424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012222 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Brain & Spine Center | Current | Accepting new patients | |
| Bodyset Inc | Physical Therapist | Current | Accepting new patients |
Locations
1790 Mulkey Rd
Ste 1314
Austell, GA 30106
Phone (678) 401-3033
7721 Majors Rd
Ste 100
Cumming, GA 30041
9635 Ventana Way
Ste 201
Johns Creek, GA 30022
Phone (404) 446-4424
11877 Douglas Rd
#102272
Johns Creek, GA 30005
4245 Johns Creek Pkwy
Ste E
Suwanee, GA 30024
Phone (678) 456-8000
Interoperability endpoints
- sanjay.reddypt.d2.p1@direct.aicaorthopedics.nextgenshare.com
- manan.patel.p1@direct.aicaorthopedics.nextgenshare.com
Organizations & group practices 2
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 Therapist
- Austell, GA
- NPI 1578291704
-
- Neurological Surgery Physician
- Johns Creek, GA
- NPI 1871723684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1942521489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 MULKEY RD STE 1314",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 MULKEY RD STE 1314",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061416",
"telephone_number": "770-742-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MANAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.