Toby Raju Manimalethu, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501007767 Issued in MI

Practice address

20319 Farmington Rd BLDG E
Livonia, MI 48152-1411

Phone

(248) 476-8911

Fax

(248) 476-8913

NPI assigned

Oct 11, 2006

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alternative Rehab, IncGroup PAC ID 8921075797, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alternative Rehab, Inc

  • Physical Therapist
  • Livonia, MI
  • NPI 1952498180
  Medicare reassignment Care Compare group NPD Authorized official
• Elite Medical Rehabilitation Group Inc.

  • General Practice Physician
  • Farmington Hills, MI
  • NPI 1538176110
  Medicare reassignment NPD
• Holistic Chiropractic Corp

  • Chiropractor
  • Northville, MI
  • NPI 1366539504
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1043309966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20319 FARMINGTON RD BLDG E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-476-8911",
            "fax_number": "248-476-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20319 FARMINGTON RD BLDG E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-476-8911",
            "fax_number": "248-476-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIMALETHU",
        "first_name": "TOBY",
        "middle_name": "RAJU",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURANCE PIN",
            "identifier": "383454355",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "650H257440",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSPIRATIONS TAX ID",
            "identifier": "383606482",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Mancina, BEHAVIOR TECHNICIAN
• Grace Elizabeth Mancina
• Michael A Mandell, MD
• Fawaz Manfoukh
• Warren C Mangulabnan, RPT
• Ajith Rengarajan Manipala, DDS
• Asiya Naeem Manjlai
• Raja Canice Manning
• Alielhadi Mansour
• Alisya Mansour

• Physical Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.