Prathima Mandava, PT
NPI 1063661288 · Physical Therapist · Grand Ledge, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prathima Mandava, PT is a Physical Therapist provider in Grand Ledge, MI (NPI 1063661288).
Provider details
- NPI number
- 1063661288
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 5501014026 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-11
- Last updated
- 2008-09-11
Frequently asked questions
- What is Prathima Mandava's NPI number?
- Prathima Mandava's National Provider Identifier (NPI) is 1063661288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prathima Mandava's specialty?
- Prathima Mandava is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Prathima Mandava located?
- Prathima Mandava's practice location on file with NPPES is 12947 Townsend Dr, Grand Ledge, MI 48837-8727.
- What is Prathima Mandava's phone number?
- The practice phone number listed in the NPPES registry for Prathima Mandava is (906) 250-8223.
- Does Prathima Mandava accept Medicare?
- Prathima Mandava is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prathima Mandava's NPI active?
- Yes — Prathima Mandava's NPI (1063661288) is active in the NPPES registry as of the last update on 2008-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.