Elizabeth J Manento, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0009480 Issued in CT

Practice address

400 N Main St
Bristol, CT 06010-4923

Phone

(860) 584-3400

NPI assigned

Oct 15, 2020

Sex

Female

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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1982202487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 REDSTONE HILL RD APT 63",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107784",
            "telephone_number": "860-866-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104923",
            "telephone_number": "860-584-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANENTO",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "0009480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Georgiana Maillet
• Tambri Majkowski
• Aditya Malhotra, DMD
• Julie Goldberg Malkin, MD
• Jianliang Man, M.D.
• Neelab Manzoor, PHARMD
• Joseph Marakovits, MD
• Micheal Roger Marcotte, DDS, MSD
• Francesco Marini
• Mariposa Counseling LLC

• Physical Therapy Assistant in Bristol, CT
• Providers in Bristol, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.