Glenn D. Manceaux, P.T., D.C., C.C.S.P.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

635 Issued in LA

Practice address

6902 W Main St
Houma, LA 70360-2455

Phone

(985) 868-3136

Fax

(985) 868-4040

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

May accept Medicare assignment

Group practices

DRS Flynn Manceaux a Professional Chiropractic and Physical Therapy CoGroup PAC ID 5890868442, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DRS Flynn Manceaux a Professional Chiropractic and Physical Therapy Co

  • Chiropractor
  • Houma, LA
  • NPI 1902063233
  Medicare reassignment Care Compare group NPD Authorized official
• Acadian Chiropractic & Wellness LLC

  • Chiropractor
  • Baton Rouge, LA
  • NPI 1720434665
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1972552743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602455",
            "telephone_number": "985-868-3136",
            "fax_number": "985-868-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602455",
            "telephone_number": "985-868-3136",
            "fax_number": "985-868-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCEAUX",
        "first_name": "GLENN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "P.T., D.C., C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "635",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maison de'Ville Nursing Home, Inc.
• Maison Deville of Houma
• Trina Maize, BA
• Malcolm J. Dugas Jr.
• Sukhdeep Singh Malhi, M.D
• Jon Mangels, MD
• Carl Buford Mangum, ED.D., LCSW
• Shyam Prabhakant Mani, M.D.
• Harjot Singh Mann, MD
• Sukesh Manthri, M.D.

• Chiropractor in Houma, LA
• Providers in Houma, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.