Aristotle K. Manda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1201000 Issued in TX

Practice address

1201 Hewitt Dr
Suite 202
Waco, TX 76712-8833

Phone

(254) 776-7864

NPI assigned

Apr 22, 2008

Last updated

May 15, 2014By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1962677807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HEWITT DR",
            "address_2": "SUITE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128833",
            "telephone_number": "254-776-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HEWITT DR",
            "address_2": "SUITE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128833",
            "telephone_number": "254-776-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDA",
        "first_name": "ARISTOTLE",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1201000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Grace Malone, NP
• Nolan S Malthesen, MD
• Mia Malvini, SLP-ASSISTANT
• Jacqueline Mambo-Mbanya
• Tristan Bailey Manasco
• Savannah Manes
• Jena Mann, FNP-C
• Angel Manning
• Jeffrey T Manning, M.D.
• Michelle T Manning, MD

• Physical Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.