Active NPI
Manual Edge Physiotherapy LLC
- Orthopedic Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1962632620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2373
- Legal business name
- MANUAL EDGE PHYSIOTHERAPY LLC
- Practice address
- 6189 Lehman Dr Ste 202
Colorado Springs, CO 80918-5409 - Phone
- (719) 694-8342
- Fax
- (719) 694-8347
- NPI assigned
- Jul 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy D. Bonack, P.T.
- Title
- Owner
- Phone
- (719) 694-8342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2373 | CO | Primary |
Addresses
Primary practice location
6189 Lehman Dr Ste 202
Colorado Springs, CO 80918-5409
Mailing address
6189 Lehman Dr Ste 202
Colorado Springs, CO 80918-5409
Phone (719) 694-8342
National Provider Directory
National Provider DirectoryLocations
5265 N Academy Blvd
Ste 1500
Colorado Springs, CO 80918
Phone (719) 531-6513
6189 Lehman Dr
Ste 202
Colorado Springs, CO 80918
Phone (719) 694-8342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538697600000",
"number": "1962632620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6189 LEHMAN DR STE 202",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809185409",
"telephone_number": "719-694-8342",
"fax_number": "719-694-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6189 LEHMAN DR STE 202",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809185409",
"telephone_number": "719-694-8342",
"fax_number": "719-694-8347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUAL EDGE PHYSIOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-15",
"last_updated": "2018-10-05",
"status": "A",
"authorized_official_last_name": "BONACK",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-694-8342",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "2373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.