MANTENO PHYSICAL THERAPY, LLC
NPI 1558500124
Specialist in Manteno, IL

Active since February 05, 2009
19 W DIVISION ST, MANTENO, IL 60950(815) 468-7300 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Manteno Physical Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANTENO PHYSICAL THERAPY, LLC (NPI 1558500124) is a healthcare organization registered as a specialist in Manteno, Illinois and active in the NPI registry since February 2009. The organization lists Daniel A Ryba, Owner, as its authorized official.

NPPES Registry Identity

NPI1558500124
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMANTENO PHYSICAL THERAPY, LLC
Location Address19 W DIVISION STManteno, IL 60950-1533
Mailing Address19 W Division StManteno, IL 60950-1533 · (815) 468-7300
Organization SubpartNo
Authorized OfficialDaniel A RybaOwner · (815) 468-7300
Enumeration DateFebruary 5, 2009
✔ NPI 1558500124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 070.008529
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
19 W DIVISION ST, Manteno, IL 60950

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manteno Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Manteno Physical Therapy, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1053499053
7777 W LINCOLN HWY SUITE D
Frankfort, IL 60423
(815) 806-0777
✔ Accepts Medicare18 mi
Physical Therapist in Private Practice
NPI 1639725443
7777 W LINCOLN HWY
Frankfort, IL 60423
(815) 806-8777
✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manteno Physical Therapy, LLC's NPI number?

The NPI number for Manteno Physical Therapy, LLC is 1558500124. It was assigned to this organization in the NPPES registry on February 5, 2009.

Where is Manteno Physical Therapy, LLC located?

Manteno Physical Therapy, LLC is located at 19 W Division St, Manteno, IL 60950. The listed phone number is (815) 468-7300.

What is Manteno Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Manteno Physical Therapy, LLC enrolled in Medicare?

Yes. Manteno Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manteno Physical Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Manteno Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Manteno Physical Therapy, LLC was last updated on February 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.