Individual provider Active NPI

Deborah Mancari, PT

  • Physical Therapist
  • Palos Heights, IL
National Provider Identifier
1396855003
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.005932 Issued in IL
Practice address
11950 S Harlem Ave Ste 202-4
Palos Heights, IL 60463-1495
Phone
(630) 296-3400
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 070.005932 IL Primary

Addresses

Primary practice location

11950 S Harlem Ave Ste 202-4
Palos Heights, IL 60463-1495

Mailing address

11950 S Harlem Ave
Palos Heights, IL 60463-1150

Other identifiers 1

IdentifierTypeStateIssuer
070-005932OtherILLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121214000343 IL Practitioner - Physical Therapist in Private Practice 9830341098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

3025 Spring Lake Dr
Lansing, IL 60438-4403
Phone (708) 412-4003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.005932ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Home Health, LLC. CurrentSince Jun 15, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Manteno Physical Therapy, LLC Past Accepting new patients
Lincoln-Way Physical Therapy, LLC PastSince Sep 17, 2012 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

11950 S Harlem Ave
Ste 202-4
Palos Heights, IL 60463
Phone (630) 296-3400

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1396855003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 S HARLEM AVE STE 202-4",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631495",
            "telephone_number": "630-296-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCARI",
        "first_name": "DEBORAH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.005932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "070-005932",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.