Active NPI
Manual Medicine Spine and Sports Physical Therapy
- Physical Therapy Clinic/Center
- Washington, DC
National Provider Identifier
1962963280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MANUAL MEDICINE SPINE AND SPORTS PHYSICAL THERAPY
- Practice address
- 1015 15TH St NW, Ste 614K
Washington, DC 20005 - Phone
- (202) 670-8874
- NPI assigned
- Mar 28, 2019
- 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
- Ms. Trupti Bipinchandra Mehta, PT
- Title
- Representative
- Phone
- (919) 302-5091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1015 15TH St NW, Ste 614K
Washington, DC 20005
Mailing address
833 Decatur St NW
Washington, DC 20011
Phone (202) 670-8874
National Provider Directory
National Provider DirectoryLocations
1015 15th St NW
Ste 614K
Washington, DC 20005
Phone (202) 670-8874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553731200000",
"number": "1962963280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 DECATUR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20011",
"telephone_number": "202-670-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 15TH ST NW, STE 614K",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20005",
"telephone_number": "202-670-8874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUAL MEDICINE SPINE AND SPORTS PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "TRUPTI",
"authorized_official_middle_name": "BIPINCHANDRA",
"authorized_official_title_or_position": "REPRESENTATIVE",
"authorized_official_telephone_number": "919-302-5091",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.