Tiana Marie Manrique, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018338 Issued in IL

Practice address

67 W Jackson Blvd # 175
Chicago, IL 60604-3507

Phone

(312) 386-1100

Fax

(312) 386-1200

NPI assigned

Aug 26, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tiana Marie Jungels Former name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Accelerated Rehabilitation Centers, LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Chicago, IL
  • NPI 1306239389
  NPD (past)
• Elam Sports, Inc.

  dba Elam Sports Oahu

  • Physical Therapist
  • Pearl City, HI
  • NPI 1770512048
  NPD (past)
• Warfighter's Clinic

  • Pain Medicine Physician
  • Kapolei, HI
  • NPI 1003357765
  NPD (past)

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881900991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W JACKSON BLVD # 175",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043507",
            "telephone_number": "312-386-1100",
            "fax_number": "312-386-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 W 177th St",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292184",
            "country_code": "US",
            "telephone_number": "708-249-8347",
            "fax_number": "708-249-8348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 W 177th St",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292184",
            "country_code": "US",
            "telephone_number": "708-249-8347",
            "fax_number": "708-249-8348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANRIQUE",
        "first_name": "TIANA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010377A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01048545",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01023535",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIANA",
            "last_name": "JUNGELS",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas G Manos, DDS, MS
• Nikol Manov, DMD
• Mariya Ivanova Manova, DMD
• Miguel Enrique Manrique Palaviccini, MD
• Robert Edward Manrique, L.C.S.W.
• Yolanda Manrique, LSW
• Ixtlily Manriquez Elizalde, LCSW
• Rachel Bethany Mansfield
• Aaron D Manshaem, PA-C
• Dennis Takami Manshio, M.D.

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.