Mansach Enterprises LLC
A Medicare group practice based in Pontiac, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5991934184), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5991934184
- Provider type
- Part B Supplier - Physical/Occupational Therapy Group in Private Practice
- Enrolled in
- MI
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20140211000726 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1477989937 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Mansach Enterprises LLC
- Multi-Specialty Clinic/Center
- Pontiac, MI
- NPI 1477989937
-
Mansach Enterprises LLC
- Community/Behavioral Health Agency
- Pontiac, MI
- NPI 1043918659
Practice locations
- Dearborn Heights, MI1
- Pontiac, MI1
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (3).
-
Jasmine Jamila Johnson, DPT
- Physical Therapist
- Pontiac, MI
- NPI 1992339428
-
Sydney Erin Krolikowski, M.A CCC-SLP
- Speech-Language Pathologist
- Pontiac, MI
- NPI 1255806667
-
Ravi Bhushan Kukkalli, P.T.
- Physical Therapist
- Wayne, MI
- NPI 1174727903
-
Ciera Melton, DPT
- Physical Therapist
- Pontiac, MI
- NPI 1871127308
-
Amar N Patel, PT, DPT
- Physical Therapist
- Dearborn Heights, MI
- NPI 1184737819
-
Sanjyot Ujwal Salvi
- Physical Therapist
- Pontiac, MI
- NPI 1568242386
-
Katie Thomas, P.T.
- Physical Therapist
- Orion, MI
- NPI 1518396498
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.