Individual provider Active NPI

Dominika Manko, DPT

  • Physical Therapist
  • Arlington Heights, IL
National Provider Identifier
1083362495
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1614 W Central Rd Ste 200
Arlington Heights, IL 60005-2453
Phone
(607) 748-1847
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

1614 W Central Rd Ste 200
Arlington Heights, IL 60005-2453

Mailing address

300 Inwood Dr Apt 404
Wheeling, IL 60090-6725
Phone (224) 616-0283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526000519 IL Practitioner - Physical Therapist in Private Practice 3476931825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelvic Therapy and Fitness LLCGroup PAC ID 4587050729, 4 clinicians

Practice addresses (Care Compare)

2500 W Higgins Rd
Suite 1100
Hoffman Estates, IL 60169-2050
Phone (847) 989-1491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvic Therapy and Fitness LLC Physical Therapist CurrentSince Jun 23, 2023 Accepting new patients

Locations

2500 W Higgins Rd
Ste 1100
Hoffman Estates, IL 60169
Phone (847) 855-8852

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1083362495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INWOOD DR APT 404",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906725",
            "telephone_number": "224-616-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W CENTRAL RD STE 200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052453",
            "telephone_number": "607-748-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKO",
        "first_name": "DOMINIKA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.