JUSTIN MANLEY CCP
NPI 1306475579
Perfusionist in San Antonio, TX

Q: What is Justin Manley's NPI number?

The NPI number for Justin Manley is 1306475579. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Justin Manley's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Manley was last updated on February 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2020

14603 HUEBNER RD STE 28101, SAN ANTONIO, TX 78230(210) 614-7074 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2021, May 26, 2020, Apr 8, 2020 (3 updates tracked since 2020).

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About Justin Manley Ccp NPPES

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

JUSTIN MANLEY CCP (NPI 1306475579) is an individual perfusionist provider in San Antonio, Texas, licensed in Texas (FPF02000140) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1306475579

Entity TypeIndividualMale

Primary Taxonomy242T00000X

Provider Legal NameJUSTIN MANLEYCredential: CCP

Location Address14603 HUEBNER RD STE 28101San Antonio, TX 78230-5497

Mailing Address14603 Huebner Rd Ste 28101San Antonio, TX 78230-5497 · (210) 614-7074

Phone(210) 614-7074

Sole ProprietorNo

Enumeration DateApril 8, 2020

Last NPPES UpdateFebruary 2, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2021

✔ NPI 1306475579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code242T00000X

Licenses✔ Licensed in TX · FPF02000140✔ Licensed in TX · PPF02000069

Definition

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

14603 HUEBNER RD STE 28101, San Antonio, TX 78230

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