NICHOLAS MANDERACHIA DPT
NPI 1972367605
Physical Therapist in Detroit, MI

Active since February 13, 2024
2799 W GRAND BLVD, DETROIT, MI 48202(248) 325-2146 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Manderachia Dpt NPPES

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

NICHOLAS MANDERACHIA DPT (NPI 1972367605) is an individual physical therapist in Detroit, Michigan, licensed in Michigan (5501303160) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1972367605
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNICHOLAS MANDERACHIACredential: DPT
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address1526 N Maple AveRoyal Oak, MI 48067-1224 · (248) 217-3192
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
Last NPPES UpdateJune 22, 2025
NPPES CertifiedJune 22, 2025
NPI 1972367605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MI · 5501303160
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2799 W GRAND BLVD, Detroit, MI 48202

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Nicholas Manderachia's NPI number?

The NPI number for Nicholas Manderachia is 1972367605. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Nicholas Manderachia located?

Nicholas Manderachia practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (248) 325-2146.

What is Nicholas Manderachia's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Nicholas Manderachia was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.