Individual provider Active NPI

Manisha Patel, PT, MS

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1366565574
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
70013275 Issued in IL
Practice address
1347 W Belmont Ave
Chicago, IL 60657-3208
Phone
(708) 915-4700
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 70013275 IL Primary

Addresses

Primary practice location

1347 W Belmont Ave
Chicago, IL 60657-3208

Mailing address

1347 W Belmont Ave
Chicago, IL 60657-3208
Phone (312) 640-0329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090724000073 IL Practitioner - Physical Therapist in Private Practice 3274696612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Therapy Partners, LLCGroup PAC ID 3577892710, 3 clinicians
Elevate Physical Therapy NW LLCGroup PAC ID 4183156821, 2 clinicians

Practice addresses (Care Compare)

1347 W Belmont Ave
Chicago, IL 60657-9676
Phone (773) 360-1740

147 N Northwest Hwy
Park Ridge, IL 60068-3341
Phone (847) 696-7465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
70013275ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schwab Faculty Associates Inc CurrentSince Jul 1, 2020 Accepting new patients
Elevate Physical Therapy Partners, LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Elevate Physical Therapy NW LLC Physical Therapist CurrentSince Aug 6, 2024 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients
PT Hawaii, Inc. PastSince Apr 23, 2015 Accepting new patients

Locations

28687 Network Pl
Chicago, IL 60673

1401 S California Ave
Chicago, IL 60608
Phone (773) 522-5853

147 N Northwest Hwy
Park Ridge, IL 60068
Phone (773) 360-1740

Organizations & group practices 5

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1366565574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573208",
            "telephone_number": "312-640-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573208",
            "telephone_number": "708-915-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISHA",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70013275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.