MANUEL PHYSICAL THERAPY AND SPORTS PERFORMANCE (NPI# 1619369881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619369881 |
| Entity Type | Organization |
| Organization Name | MANUEL PHYSICAL THERAPY AND SPORTS PERFORMANCE |
| Practice Address |
519 Southshore Ln Ste. 309 Dallas GA 30157-4100 |
| Mailing Address |
519 Southshore Ln Dallas GA 30157-4100 |
| Practice Telephone | 7706393547 |
| Mailing Telephone | 7706393547 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | MR. ROLANDO E. MANUEL (PTA) |
| Authorized Official Telephone | 7706393547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTA001792 | GA | Ambulatory Health Care Facilities |
| Street Address |
519 SOUTHSHORE LN STE. 309 |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649662800 | Rolando E. Manuel Jr. | Physical Therapist | 519 Southshore Ln, Dallas, GA 30157-4100 | 2015-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761178 | Wowyfitness, LLC | Clinic/Center | 4369 Timberglen Rd, Dallas, TX 75287-4018 | 2020-08-22 |
| 1992316806 | Amp Movement Therapy | Clinic/Center | 4715 Iberia Ave Ste 200, Dallas, TX 75207-5507 | 2020-08-13 |
| 1891320560 | Motion Rx, Pllc | Clinic/Center | 9120 Southwestern Blvd Apt 5208, Dallas, TX 75214-1557 | 2020-03-03 |
| 1982235131 | Empowered Performance Physical Therapy | Clinic/Center | 1201 Turtle Creek Blvd, Dallas, TX 75207-6613 | 2020-01-27 |
| 1689153793 | Human Function and Performance, LLC | Clinic/Center | 136 Glass St # 140, Dallas, TX 75207-6910 | 2018-08-09 |
| 1356879175 | Mpower Physical Therapy | Clinic/Center | 3434 Binkley Ave, Dallas, TX 75205-2230 | 2017-05-24 |
| 1659722585 | Synergy Pt and Pilates LLC | Clinic/Center | 2919 Welborn St Ste 100, Dallas, TX 75219-4906 | 2016-06-22 |
| 1770943003 | Healing Touch Physical Therapy, LLC | Clinic/Center | 4227 Firebrick Ln, Dallas, TX 75287-5136 | 2016-02-29 |
| 1437532181 | Dallas Midtown Physical Therapy and Rehabilitation LLP | Clinic/Center | 4101 Mcewen Rd Ste 100, Dallas, TX 75244-5145 | 2015-06-30 |
| 1245629153 | A&m Productions, LLC | Clinic/Center | 6019 Mapleshade Ln, Dallas, TX 75252-2612 | 2015-01-15 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on MANUEL PHYSICAL THERAPY AND SPORTS PERFORMANCE.
| 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.