Individual provider Active NPI

Mannu James Joseph, PT

  • Physical Therapist
  • Deerfield, IL
National Provider Identifier
1649927963
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013802 Issued in IL
Practice address
707 Lake Cook Rd Ste 120
Deerfield, IL 60015-4909
Phone
(847) 858-5172
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070013802 IL Primary

Addresses

Primary practice location

707 Lake Cook Rd Ste 120
Deerfield, IL 60015-4909

Mailing address

2061 2ND St
Northbrook, IL 60062-6617
Phone (847) 571-7572

Other practice location 1

2061 2nd St
Northbrook, IL 60062-6617
Phone (847) 571-7572

Other names 1

  • Mannu Thirunelliparambil Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106003928 IL Practitioner - Physical Therapist in Private Practice 6800320342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Physical Therapy and Rehabilitation PCGroup PAC ID 6305370842, 3 clinicians

Practice addresses (Care Compare)

707 Lake Cook Rd
Suite 120
Deerfield, IL 60015-4909
Phone (847) 858-5172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070013802ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Physical Therapy and Rehabilitation PC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

707 Lake Cook Rd
Ste 120
Deerfield, IL 60015
Phone (847) 509-0600

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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1649927963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 2ND ST",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626617",
            "telephone_number": "847-571-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD STE 120",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154909",
            "telephone_number": "847-858-5172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2061 2nd St",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600626617",
            "country_code": "US",
            "telephone_number": "847-571-7572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MANNU",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANNU",
            "last_name": "THIRUNELLIPARAMBIL",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.