Individual provider Active NPI

Colton Manusky, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1699446203
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070026284 Issued in IL
Practice address
444 W Jackson Blvd Lbby 1
Chicago, IL 60606-6951
Phone
(312) 407-0143
NPI assigned
Sep 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070026284 IL Primary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X

Addresses

Primary practice location

444 W Jackson Blvd Lbby 1
Chicago, IL 60606-6951

Mailing address

2000 N Lincoln Park W Unit 1103
Chicago, IL 60614-4708

Other practice location 1

10 S Clinton St
Chicago, IL 60661-3400
Phone (312) 234-9958

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211016000029 IL Practitioner - Physical Therapist in Private Practice 4789082090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

1804 Centre Point Cir
Suite 102
Naperville, IL 60563-4849
Phone (630) 955-1940

700 W Fabyan Pkwy
Batavia, IL 60510-1269
Phone (888) 531-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC CurrentSince Oct 1, 2021 Accepting new patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
Functional Pathways Preferred of Tennessee LLC Single Specialty CurrentSince Oct 25, 2025 Accepting new patients
Rci (WRS), LLC. CurrentSince Oct 1, 2021 Accepting new patients

Locations

700 W Fabyan Pkwy
Batavia, IL 60510
Phone (630) 239-1133

444 W Jackson Blvd
Lbby 1
Chicago, IL 60606
Phone (312) 407-0143

10 S Clinton St
Chicago, IL 60661
Phone (312) 234-9958

1804 Centre Point Cir
Ste 102
Naperville, IL 60563
Phone (630) 955-1940

9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201

826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Organizations & group practices 4

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1699446203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N LINCOLN PARK W UNIT 1103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W JACKSON BLVD LBBY 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066951",
            "telephone_number": "312-407-0143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 S Clinton St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606613400",
            "country_code": "US",
            "telephone_number": "312-234-9958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUSKY",
        "first_name": "COLTON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070026284",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 22, 2021; 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.