Manoj Varughese Elamthottathil, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039449 Issued in NY

Practice address

525 Clove Rd Apt 1G
Staten Island, NY 10310-2312

Phone

(917) 319-5688

NPI assigned

Sep 4, 2015

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Hands on Ny Physical Therapy, P.C.

  • Physical Therapist
  • Staten Island, NY
  • NPI 1124535620
  Medicare reassignment NPD Authorized official
• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment NPD
• New York Chiropractic & Physical Therapy, PLLC

  • Chiropractor
  • Staten Island, NY
  • NPI 1952573065
  Medicare reassignment NPD

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1265800403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CLOVE RD APT 1G",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CLOVE RD APT 1G",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102312",
            "telephone_number": "917-319-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAMTHOTTATHIL",
        "first_name": "MANOJ VARUGHESE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona El-Sherif, NP
• Yasir El-Sherif, M.D., PHD.
• Nada Eladma, M.S., CF-SLP, TSSLD
• Elaine Shnitkind MD P.C.
• Faisal Elali
• Elangovan Psychiatric Services PLLC
• Shashi Elangovan
• Khaled Elasmar, PT, DPT
• Linda Elassad, LCSW
• Amna Elayan

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.