MANIFEST THERAPY LLC
NPI 1639012388
Social Worker in Hampton, VA

Active since April 09, 2026
618 BURTON ST, HAMPTON, VA 23666(757) 262-6784 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2026, Apr 9, 2026 (2 updates tracked since 2026).

About Manifest Therapy Llc NPPES

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

MANIFEST THERAPY LLC (NPI 1639012388) is a healthcare organization registered as a social worker in Hampton, Virginia and active in the NPI registry since April 2026. The organization lists Trina Michelle Laverty, Owner, as its authorized official.

NPPES Registry Identity

NPI1639012388
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameMANIFEST THERAPY LLC
Location Address618 BURTON STHampton, VA 23666-2164
Mailing Address618 Burton StHampton, VA 23666-2164 · (757) 262-6784
Organization SubpartNo
Authorized OfficialTrina Michelle LavertyOwner · (757) 262-6784
Enumeration DateApril 9, 2026
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1639012388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
618 BURTON ST, Hampton, VA 23666

Group Practice 1

Group TaxonomyThis 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manifest Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Manifest Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1780176990
2208 EXECUTIVE DR STE C
Hampton, VA 23666
(757) 826-7516
✔ PECOS1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Manifest Therapy LLC's NPI number?

The NPI number for Manifest Therapy LLC is 1639012388. It was assigned to this organization in the NPPES registry on April 9, 2026.

Where is Manifest Therapy LLC located?

Manifest Therapy LLC is located at 618 Burton St, Hampton, VA 23666. The listed phone number is (757) 262-6784.

What is Manifest Therapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Manifest Therapy LLC enrolled in Medicare?

Yes. Manifest Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manifest Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Manifest Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Manifest Therapy LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.