Individual provider Active NPI

Annabel Aquino Manabat, P.T.

  • Physical Therapist
  • Allen, TX
National Provider Identifier
1952720278
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1299480 Issued in TX
Practice address
1533 Harvest Run Dr
Allen, TX 75002-4589
Phone
(773) 853-1833
NPI assigned
Apr 15, 2014
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.019130 IL
Physical Therapist 225100000X 1299480 TX Primary

Addresses

Primary practice location

1533 Harvest Run Dr
Allen, TX 75002-4589

Mailing address

1533 Harvest Run Dr
Allen, TX 75002-4589
Phone (773) 853-1833

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.019130ILMDPhysical Therapist
1299480TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxicare Therapy and Wellness of Dallas Physical Therapist CurrentSince Sep 25, 2022 Accepting new patients

Organizations & group practices 1

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1952720278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 HARVEST RUN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024589",
            "telephone_number": "773-853-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 HARVEST RUN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024589",
            "telephone_number": "773-853-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANABAT",
        "first_name": "ANNABEL",
        "middle_name": "AQUINO",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019130",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1299480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.