ALISA MANZANO (NPI# 1154864080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154864080 |
| Entity Type | Individual |
| Full Name | ALISA MANZANO |
| Credential | M.S., P.T. |
| Practice Address |
2030 Sutter Pl Suite 1000 Davis CA 95616-6212 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 5307505904 |
| Practice Fax Number | 5307505905 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
18465 | CA | Ambulatory Health Care Facilities |
| Street Address |
2030 SUTTER PL SUITE 1000 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912996794 | Kenneth H Ferguson | Urology | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2005-10-14 |
| 1548781891 | Kristine C Meade | Student in an Organized Health Care Education/Training Program | 2030 Sutter Pl, Davis, CA 95616-6212 | 2017-06-27 |
| 1932429065 | Christie Romo | Student in an Organized Health Care Education/Training Program | 2030 Sutter Pl, Suite 2000, Davis, CA 95616-6212 | 2010-06-11 |
| 1467771402 | Neerali Bernard | Psychiatry & Neurology | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2010-05-28 |
| 1548587926 | Myra Qi-hua Hu | Psychiatry & Neurology | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2010-04-26 |
| 1235462086 | Susan B Gillespie | Nurse Practitioner | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2009-09-11 |
| 1699937383 | Laura A Howard | Family Medicine | 2030 Sutter Pl, Suite 2000, Davis, CA 95616-6212 | 2008-06-25 |
| 1710187026 | Julia Sherk Logan | Family Medicine | 2030 Sutter Pl, Suite 2000, Davis, CA 95616-6201 | 2007-07-24 |
| 1659577062 | Teresa Marie King | Physical Therapist | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6201 | 2007-06-22 |
| 1326192055 | Kathryn Sl Csaposs | Physical Therapist | 2030 Sutter Pl, Davis, CA 95616-6201 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497137384 | Optimotion Physical Therapy Sport and Spine, Inc. | Clinic/Center | 1736 Picasso Ave, Suite A, Davis, CA 95618-0558 | 2015-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.