Individual provider Active NPI

Joseph Alan Manning Jr., PT, DPT

  • Orthopedic Physical Therapist
  • Okatie, SC
National Provider Identifier
1992044101
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8022 Issued in SC
Practice address
100 Okatie Center Blvd N
Okatie, SC 29909-3750
Phone
(843) 547-4058
NPI assigned
Feb 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8022 SC Primary
Physical Therapist 225100000X PT010919 GA

Addresses

Primary practice location

100 Okatie Center Blvd N
Okatie, SC 29909-3750

Mailing address

1312 Brightwood Dr
Savannah, GA 31406-2012
Phone (229) 402-2074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130402000215 GA Practitioner - Physical Therapist in Private Practice 6204071855 Reassigns benefits to 1 organization
I20160217001954 SC Practitioner - Physical Therapist in Private Practice 6204071855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optim Orthopedics LLCGroup PAC ID 9931427002, 101 clinicians

Practice addresses (Care Compare)

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8022SCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Rehabilitation Physical Therapist CurrentSince Jan 11, 2016 Accepting new patients
Optim Orthopedics, LLC CurrentSince Feb 1, 2021 Accepting new patients
Optim Orthopedics LLC CurrentSince Feb 1, 2021 Accepting new patients
Optim Orthopedics, LLC Current Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Optim Orthopedics, LLC Past Accepting new patients
Effingham Rehab Services, LLC Physical Therapist Past Accepting new patients

Locations

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

100 Okatie Center Blvd N
Okatie, SC 29909
Phone (843) 547-4058

Interoperability endpoints

  • Direct secure messaging: joseph.manning.1@16403.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1992044101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 BRIGHTWOOD DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062012",
            "telephone_number": "229-402-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OKATIE CENTER BLVD N",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093750",
            "telephone_number": "843-547-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "8022",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.