Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Manoj Varughese Elamthottathil, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1265800403

Manoj Varughese Elamthottathil, PHYSICALTHERAPIST is registered under Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

525 Clove Rd Apt 1G
Staten Island, NY 10310-2312 Not confirmed with CMS for 11 years — call before visiting
Phone: (917) 319-5688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 039449 (NY)

Record details

NPI number1265800403
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedSeptember 4, 2015
Last updated in NPPESSeptember 4, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients36
Services billed 2,770 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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