MEDICARE: MRS. MANISHA Z KAPASI PT PHD CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1609	GA

General Provider Information

NPI Number	:	1639289408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MANISHA Z KAPASI PT PHD CHT

Provider Business Mailing Address
First Line	:	9700 MEDLOCK BRIDGE RD STE 150
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-4409
Country	:	US
Telephone Number	:	770-623-0105
Fax Number	:	770-623-0602

Provider Business Practice Location Address
First Line	:	9700 MEDLOCK BRIDGE RD STE 150
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-4409
Country	:	US
Telephone Number	:	770-623-0105
Fax Number	:	678-377-1737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	04/03/2026

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