Prathima Mandava, PT
NPI 1063661288ActiveIndividual· Physical Therapist· Grand Ledge, MI
Physical Therapist (PT) in Grand Ledge, Michigan, licensed in MI, with an NPI issued in September 2008. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1063661288 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Sep 11, 2008 |
| Last updated in NPPES | Sep 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501014026 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|
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