Manual PT & Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16168 Issued in MD

Legal business name

MANUAL PT & SPORTS MEDICINE

Practice address

3612 Falls Rd Lowr Level
Baltimore, MD 21211-1814

Phone

(410) 889-8004

Fax

(410) 889-8024

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Susan Elizabeth Rovnak, PHYSICAL THERAPIST

Title

Ceo

Phone

(410) 889-8004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott B Coon, PT MTC CFMT

  • Physical Therapist
  • Owings Mills, MD
  • NPI 1942247515
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1952300436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212114105",
            "telephone_number": "410-889-8004",
            "fax_number": "410-889-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 FALLS RD LOWR LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111814",
            "telephone_number": "410-889-8004",
            "fax_number": "410-889-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL PT & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "ROVNAK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-889-8004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS MARYLAND",
            "identifier": "J353MA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mantici, OTR/L
• Ekta Mantri, M.D
• Koushik Mantripragada, MD
• Angela Mantzavinos, OD
• Jasmaine Manu
• Zara Manuelyan, M.D.
• Mariuxi Cherrie Manukyan, MD
• Sasicha Manupipatpong, MD
• Susan Wangeci Manyara, RN
• Peter Manza, PHD

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.