MR. THEODIS ROOSEVELT MANNING B.S. ENGINEERING
NPI 1225316706
Peer Specialist in Midwest City, OK

Active since August 01, 2011
8306 NE 10TH ST, MIDWEST CITY, OK 73110(405) 732-0573 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Theodis Roosevelt Manning B.s. Engineering NPPES

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

MR. THEODIS ROOSEVELT MANNING B.S. ENGINEERING (NPI 1225316706) is an individual peer specialist in Midwest City, Oklahoma and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1225316706
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. THEODIS ROOSEVELT MANNINGCredential: B.S. ENGINEERING
Location Address8306 NE 10TH STMidwest City, OK 73110-7155
Mailing Address8306 Ne 10th StMidwest City, OK 73110-7155 · (405) 732-0573
Sole ProprietorNo
Enumeration DateAugust 1, 2011
Last NPPES UpdateApril 5, 2024
NPPES CertifiedApril 5, 2024
NPI 1225316706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
8306 NE 10TH ST, Midwest City, OK 73110

Other Identifiers 1

Other00000000000000000000OK · N/a

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
8306 NE 10TH ST
MIDWEST CITY, OK 73110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodis Manning's NPI number?

The NPI number for Theodis Manning is 1225316706. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Theodis Manning located?

Theodis Manning practices at 8306 NE 10th St, Midwest City, OK 73110. The listed phone number is (405) 732-0573.

What is Theodis Manning's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Theodis Manning was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.