MANA PERFORMANCE PHYSICAL THERAPY
NPI 1093464158
Clinic/Center - Physical Therapy in Fairport, NY

Active since March 23, 2022
80 LYNDON RD, FAIRPORT, NY 14450(585) 364-1586(585) 310-0143 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mana Performance Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANA PERFORMANCE PHYSICAL THERAPY (NPI 1093464158) is a healthcare organization registered as a physical therapy in Fairport, New York and active in the NPI registry since March 2022. The organization lists Russell John Manalastas, Owner, as its authorized official.Information from the official NPPES registry record, last updated March 28, 2022.

NPPES Registry Identity

NPI1093464158
Entity TypeOrganization
Legal Business NameMANA PERFORMANCE PHYSICAL THERAPY
Location Address80 LYNDON RDFairport, NY 14450-9746
Mailing Address80 Lyndon RdFairport, NY 14450-9746 · (585) 364-1586 · Fax (585) 310-0143
Fax(585) 310-0143
Organization SubpartNo
Authorized OfficialRussell John ManalastasOwner · (443) 540-8419
Enumeration DateMarch 23, 2022
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1093464158 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Clinic/Center · Physical Therapy

Taxonomy 261QP2000X · Ambulatory Health Care Facilities

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession… Show more

Also Listed

Physical Therapy Assistant

Taxonomy 225200000X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

80 LYNDON RD, Fairport, NY 14450

Also on File with NPPES

Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093464158, enumerated as an "organization" on March 23, 2022.

The provider is located at 80 LYNDON RD FAIRPORT, NY 14450 and the phone number is (585) 364-1586.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.