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

Mr. Jerry Wayne Manning, PT

Individual provider Physical Therapist · NPI 1043207525

Mr. Jerry Wayne Manning, PT is a Physical Therapist in Private Practice in Russellville, Arkansas. Qualified in 2000, 26 years ago. Practices with Lane Physical Therapy Center, Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Louisiana.

Years since qualifying
26
Licensed in
AR, LA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3016 W Main St Ste 200
Russellville, AR 72801-2453
Phone: (479) 967-9657
Fax: (479) 967-9658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 Blanchard St, West Monroe, LA 71291-7369 — (318) 398-9940

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT2457 (AR)
Physical Therapist Taxonomy 225100000X · Licence 04847R (LA)

Record details

NPI number1043207525
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Lane Physical Therapy Center, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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