MR. CHRISTOPHER WAYNE MANZANO (NPI# 1558845602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558845602 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER WAYNE MANZANO |
| Credential | MPS, ATC, CSCS |
| Practice Address |
1 Constitution Wharf Suite 140 Charlestown MA 02129 |
| Practice Telephone | 8579724256 |
| Mailing Telephone | 8579724256 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
3051 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1 CONSTITUTION WHARF SUITE 140 |
| City | CHARLESTOWN |
| State | MA |
| Zip Code | 02129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1033738489 | Boston Health & Wellness, LLC | Physical Therapist | 250 First Aveneue, #506, Charlestown, MA 02129 | 2020-04-15 |
| 1134693534 | Martavia Richardson | Behavior Technician | 25 Samuel Morse Way Apt 862, 862, Charlestown, MA 02129 | 2019-01-18 |
| 1669940847 | Erika Marie Lundgren | Social Worker | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-11-06 |
| 1023503216 | Justin E Karr | Student in an Organized Health Care Education/Training Program | 79/96 Thirteenth Street, Mgh Charlestown, Charlestown, MA 02129 | 2018-06-29 |
| 1184140162 | Hakan Ay | Psychiatry & Neurology | Mass General Hospital, 13th Street, Building 149-2303, Charlestown, MA 02129 | 2017-08-21 |
| 1396271748 | Acra Care and Recovery Associates, LLC | Clinic/Center | 529 Main Street, Suite 217, The Schraffts Building, Power House, Charlestown, MA 02129 | 2017-05-04 |
| 1003267964 | Allison E White | Student in an Organized Health Care Education/Training Program | Mgh Charlestown Health Ctr, 73 High St, Charlestown, MA 02129 | 2016-06-22 |
| 1588025258 | Adrienne Senneville | Physical Therapist | 529 Main St., Charlestown, MA 02129 | 2016-03-09 |
| 1033594056 | Jessica Power | Nurse Practitioner | 1 Constitution Plz, Charlestown, MA 02129 | 2015-07-21 |
| Find all providers in zip 02129 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531316 | Dana Dearborn | Specialist/Technologist | 8 Norman Ave, Charlestown, NH 03603-4722 | 2020-09-04 |
| 1073064119 | Makayla Clarke | Specialist/Technologist | 19 Lady Slipper Trl, Charlestown, RI 02813-3414 | 2016-10-24 |
| 1114337177 | Ashley Mcnamara | Specialist/Technologist | 81 Ann Ave, Charlestown, NH 03603-4465 | 2014-04-30 |
| 1194844043 | David Kenneth Wolfe | Specialist/Technologist | 9407 Highway 403, Charlestown, IN 47111 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225682 | Jacob Hebert | Specialist/Technologist | 177 Wenonah Rd, Longmeadow, MA 01106-1929 | 2020-11-03 |
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1619583119 | Seth Travers | Specialist/Technologist | 179 Wimbleton Dr, Longmeadow, MA 01106-2744 | 2020-09-20 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1942812128 | Samantha Norman Kheboian | Specialist/Technologist | 71 Lakeshore Ave, Beverly, MA 01915-1907 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTOWN |
| Zip Code | 02129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.