Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mana Performance Physical Therapy

Organization Physical Therapy Assistant · NPI 1093464158

Mana Performance Physical Therapy is a Physical Therapy Assistant in Fairport, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

80 Lyndon Rd
Fairport, NY 14450-9746
Phone: (585) 364-1586
Fax: (585) 310-0143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Physical Therapy Assistant Taxonomy 225200000X

Record details

NPI number1093464158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Manalastas — Owner · (443) 540-8419
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address80 Lyndon Rd, Fairport, NY 14450-9746

Other providers in Fairport