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

Individual provider Physical Therapist · NPI 1679448195

Lauren Kourtney Manzano Doctolero is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Practices with Affiliated Physical Therapy, a 45-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2025
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Practice location Address checks out

1525 E Windmill Ln Ste 102
Las Vegas, NV 89123-1903
Phone: (702) 832-0258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6786 (NV)

Record details

NPI number1679448195
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Affiliated Physical Therapy — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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