Individual provider Active NPI

Robert Manley, MPT

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1962443770
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00949700 Issued in NJ
Practice address
178 Lakeview Ave
Clifton, NJ 07011-4071
Phone
(973) 998-8828
Fax
(973) 998-8830
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 40QA00949700 NJ Primary

Addresses

Primary practice location

178 Lakeview Ave
Clifton, NJ 07011-4071

Mailing address

178 Lakeview Ave
Clifton, NJ 07011-4071
Phone (973) 998-8828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051209000415 NJ Practitioner - Physical Therapist in Private Practice 8224059076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cem Physical Therapy and RehabilitationGroup PAC ID 6103258231, 5 clinicians

Practice addresses (Care Compare)

178 Lakeview Ave
Clifton, NJ 07011-4071
Phone (973) 998-8828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cem Physical Therapy & Rehabilitation Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Healing Hands Rehab Inc PastSince May 31, 2006 Accepting new patients
Best Care Medical Supply Co. Inc. Past Accepting new patients

Locations

178 Lakeview Ave
Clifton, NJ 07011
Phone (973) 998-8828

645 Bloomfield Ave
Verona, NJ 07044
Phone (973) 944-2012

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1962443770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114071",
            "telephone_number": "973-998-8828",
            "fax_number": "973-998-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 LAKEVIEW AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070114071",
            "telephone_number": "973-998-8828",
            "fax_number": "973-998-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00949700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.