Manthana Phothisatean, PT, DPT
Manthana Phothisatean, PT, DPT is a Physical Therapist in Private Practice in New City, New York. Qualified in 2023, 3 years ago. Practices with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, a 529-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 3
- Licensed in
- NY
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
30 Burda AveNew City, NY 10956-1418
Phone: (929) 928-0986
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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 052136 (NY) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 011579 (NY) |
Record details
| NPI number | 1417541889 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT , DPT |
| Sole proprietor | No |
| NPI enumerated | February 25, 2021 |
| Last updated in NPPES | March 7, 2024 |
| Certification date | March 7, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 529 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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