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

Nathaniel Mancillas, DPT

Individual provider Physical Therapist · NPI 1023550720

Nathaniel Mancillas, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Graduated from University of Michigan Medical School in 2016, 10 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Trained at
University of Michigan Medical School
Licensed in
IL
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1747 E 95th St
Chicago, IL 60617-4708
Phone: (773) 375-8711
Fax: (773) 375-8703
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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 070022749 (IL)

Record details

NPI number1023550720
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 11, 2016
Last updated in NPPESDecember 9, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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