Tiana Marie Manrique, DPT | |
67 W Jackson Blvd # 175, Chicago, IL 60604-3507 | |
(312) 386-1100 | |
(312) 386-1200 |
Full Name | Tiana Marie Manrique |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 67 W Jackson Blvd # 175, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881900991 | NPI | - | NPPES |
P01048545 | Other | IN | MEDICARE RAILROAD |
P01023535 | Other | IL | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05010377A (Indiana) | Secondary |
225100000X | Physical Therapist | 070018338 (Illinois) | Primary |
Provider Name | Elam Sports Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316982523 PECOS PAC ID: 7618880535 Enrollment ID: O20031107000065 |
Provider Name | Rebound Hawaii Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215361936 PECOS PAC ID: 1355572207 Enrollment ID: O20140319000088 |
Mailing Address | Practice Location Address |
---|---|
Tiana Marie Manrique, DPT 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-1980 | Tiana Marie Manrique, DPT 67 W Jackson Blvd # 175, Chicago, IL 60604-3507 Ph: (312) 386-1100 |
Physical Therapy Clinic Of Chicago, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6135 W Belmont Ave, Chicago, IL 60634 Phone: 773-237-7827 Fax: 773-237-7826 | |
Ms. Carok Ann Gleason, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Nicholas E Crosby, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 W Chestnut St, Apartment 1604, Chicago, IL 60610 Phone: 773-961-5322 | |
Molly Swenson Murgatroyd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 S Promontory Dr, Chicago, IL 60649 Phone: 773-256-5776 | |
Melissa Strzelinski, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Dr. Devon Beer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-794-7690 | |
Melfa Laroza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2233 W Division St, Physical Therapy Department, Chicago, IL 60622 Phone: 312-770-2000 Fax: 312-770-3477 |