Active NPI
Hazel Thea B Manalo, PT
- Physical Therapist
- Arlington Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-013898
- Practice address
- 1628 W Central Rd
Arlington Heights, IL 60005-2407 - Phone
- (847) 253-2944
- Fax
- (847) 253-2744
- NPI assigned
- Nov 2, 2006
- Last updated
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-013898 | IL | Primary |
Addresses
Primary practice location
1628 W Central Rd
Arlington Heights, IL 60005-2407
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
790 Remington Blvd
Bolingbrook, IL 60440-4909
900 Rand Rd
Suite 300
Des Plaines, IL 60016-2359
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-013898 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noel Castelino SC | Current | Accepting new patients | |
| Advanced Care Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| North America Rehab Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
5327 N Sheridan Rd
Chicago, IL 60640
Phone (773) 271-8811
6352 N Lincoln Ave
Chicago, IL 60659
Phone (773) 539-5100
9416 Skokie Blvd
Skokie, IL 60077
Phone (847) 376-4800
Organizations & group practices 3
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.
-
- Rehabilitation Practitioner
- Chicago, IL
- NPI 1841411741
-
- Physical Therapy Clinic/Center
- Skokie, IL
- NPI 1285726554
Physical Therapist
-
dba Essence Physical Therapy
- Physical Therapist
- Chicago, IL
- NPI 1952524563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1609955723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 W CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052407",
"telephone_number": "847-253-2944",
"fax_number": "847-253-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALO",
"first_name": "HAZEL THEA",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-013898",
"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 Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.