Individual provider Active NPI

Irene Pacia Manalili, PHYSICAL THERAPIST

  • Physical Therapist
  • Morristown, TN
National Provider Identifier
1962403733
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000004948 Issued in TN
Practice address
901 E Morris Blvd
Morristown, TN 37813-2499
Phone
(423) 586-6866
Fax
(423) 581-9679
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0000004948 TN Primary

Addresses

Primary practice location

901 E Morris Blvd
Morristown, TN 37813-2499

Mailing address

901 E Morris Blvd
Morristown, TN 37813-2499
Phone (423) 586-6866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714001089 TN Practitioner - Physical Therapist in Private Practice 4183650690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compwhiz International LLCGroup PAC ID 9638089899, 4 clinicians

Practice addresses (Care Compare)

901 E Morris Blvd
Morristown, TN 37813-2499
Phone (423) 586-6866

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
80.6
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000004948TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC Past Accepting new patients
Alanova & Associates, LLC PastSince Sep 27, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962403733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132499",
            "telephone_number": "423-586-6866",
            "fax_number": "423-581-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132499",
            "telephone_number": "423-586-6866",
            "fax_number": "423-581-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALILI",
        "first_name": "IRENE",
        "middle_name": "PACIA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.