Lady Einette Medina Manalo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27987 Issued in CA

Practice address

1717 E Lincoln Ave
Anaheim, CA 92805-4345

Phone

(714) 956-0803

NPI assigned

Jan 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthpointe Medical Group, Inc.

  dba First Care Industrial Medicine Center

  • Specialist
  • Anaheim, CA
  • NPI 1548201304
  Medicare reassignment NPD
• Healthpointe Medical Group, Inc.

  • Specialist
  • Garden Grove, CA
  • NPI 1487695847
  NPD
• Aig Rehab Team Inc

  • Physical Therapist
  • Walnut, CA
  • NPI 1598972937
  NPD (past)
• Randy S. Higashi Chiropractic, Inc.

  dba Anaheim Health Care Center

  • Chiropractor
  • Lynwood, CA
  • NPI 1639298557
  NPD (past)

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1952389835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E. LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92805",
            "telephone_number": "714-635-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054345",
            "telephone_number": "714-956-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "LADY EINETTE",
        "middle_name": "MEDINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-02",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Marie Mallory, CTRS
• Ava Grace Malloy
• Sarah Malone
• Deborah Maly-Ross, CNM
• Nilima H Mamtora, MD
• Melissa Rillo Manalo, MD
• Abigail Manansala
• Manuel Mancera Jr.
• Jashen Mander
• Morgan Mandigo, MD

• Physical Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.