Individual provider Active NPI

Andrew J Mannikko, D.P.T.

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1962631416
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11754 Issued in NC
Practice address
8300 Falls of Neuse Rd.
Suite 104
Raleigh, NC 27615-3450
Phone
(919) 846-9668
Fax
(919) 846-9663
NPI assigned
Jul 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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 11754 NC Primary

Addresses

Primary practice location

8300 Falls of Neuse Rd.
Suite 104
Raleigh, NC 27615-3450

Mailing address

8300 Falls of Neuse Rd.
Suite 104
Raleigh, NC 27615-3450
Phone (919) 846-9668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000427 NC Practitioner - Physical Therapist in Private Practice 7012060395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Physical Therapy LLCGroup PAC ID 8729401625, 75 clinicians

Practice addresses (Care Compare)

275 Convention Dr
Cary, NC 27511-4257
Phone (919) 459-4045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11754NCMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Advanced Therapy Physical Therapist Past Accepting new patients

Locations

275 Convention Dr
Cary, NC 27511
Phone (404) 591-9459

9529 Chapel Hill Rd
Morrisville, NC 27560
Phone (888) 265-4003

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1962631416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 FALLS OF NEUSE RD.",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153450",
            "telephone_number": "919-846-9668",
            "fax_number": "919-846-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 FALLS OF NEUSE RD.",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153450",
            "telephone_number": "919-846-9668",
            "fax_number": "919-846-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNIKKO",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.