Individual provider Active NPI

Manan Patel

  • Physical Therapist
  • Austell, GA
National Provider Identifier
1942521489
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012222 Issued in GA
Practice address
1790 Mulkey Rd Ste 1314
Austell, GA 30106-1416
Phone
(770) 742-6468
NPI assigned
Jun 18, 2010
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20220913003741 GA Practitioner - Physical Therapist in Private Practice 5395968457 Reassigns benefits to 2 organizations

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
Georgia Brain and Spine CenterGroup PAC ID 0042351025, 3 clinicians

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

LicenseStateTypeSpecialty
PT012222GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Brain & Spine Center CurrentSince Nov 17, 2025 Accepting new patients
Bodyset Inc Physical Therapist CurrentSince Aug 15, 2022 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

  • Direct secure messaging: sanjay.reddypt.d2.p1@direct.aicaorthopedics.nextgenshare.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.