Atilano Manuelito Mendoza Manalese, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011779 Issued in MI

Practice address

18763 Farmington Rd
Livonia, MI 48152-3262

Phone

(248) 426-0572

NPI assigned

Jun 7, 2012

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tmi East IncGroup PAC ID 3274864665, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Amm Hands-on Physical Therapy, LLC

  • Physical Therapist
  • Livonia, MI
  • NPI 1346782844
  Medicare reassignment NPD Authorized official
• Tmi East, Inc.

  dba Everactive Therapy

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1841551777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18763 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523262",
            "telephone_number": "248-426-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18763 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523262",
            "telephone_number": "248-426-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALESE",
        "first_name": "ATILANO MANUELITO",
        "middle_name": "MENDOZA",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "5501011779",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Mallah, OD
• Savannah Malnar
• Michael Harper Maloney
• Managed Mind Therapy LLC
• Management Strategies Co., Inc (Vivo Center)
• Keianne Mary Manalese
• Jimmy P Manansala Jr., RPT
• Mary Manaois
• Adam Mancina, BEHAVIOR TECHNICIAN
• Grace Elizabeth Mancina

• Physical Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.