Govindaraj Srinivasan Manivannan, PT, DPT(NEURO), CCI

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

42521 Issued in CA

Practice address

720 E Romie LN
Salinas, CA 93901-4208

Phone

(831) 755-3652

NPI assigned

Aug 8, 2018

Last updated

Aug 8, 2018By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1962981118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014208",
            "telephone_number": "831-755-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014208",
            "telephone_number": "831-755-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN MANIVANNAN",
        "first_name": "GOVINDARAJ",
        "credential": "PT, DPT(NEURO), CCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "42521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Open MRI
• Alexander Spence
• Jerad Spilfogel
• Jody Spraggins, MHS
• Evelyn Sprinkle, PHD, BCBA-D
• Shylaja Srinivasan, MD
• Emily St Jacques, OTR
• St. Junipero Clinic, Inc. (St. Junipero Children's Clinic)
• John Stafford
• Katerina Pike Stafford, LMFT

• Neurology Physical Therapist in Salinas, CA
• Providers in Salinas, CA by specialty
• Neurology Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.