Individual provider Active NPI

Martha Manieri, OTRL

  • Occupational Therapist
  • Greenville, SC
National Provider Identifier
1003938382
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6251 Issued in TN
Practice address
534 Old Howell Rd
Greenville, SC 29615-2051
Phone
(864) 244-3626
Fax
(864) 244-6923
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT12351 FL
Occupational Therapist 225X00000X 6251 TN Primary

Addresses

Primary practice location

534 Old Howell Rd
Greenville, SC 29615-2051

Mailing address

1915 Montgomery Way
Franklin, TN 37067-5696
Phone (305) 904-2008

Other practice location 1

1000 West Ave
#1411
Miami Beach, FL 33139-4759
Phone (305) 778-9198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828004240 TN Practitioner - Occupational Therapist in Private Practice 6901134964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

960 S Charles G Seivers Blvd
Clinton, TN 37716-3882
Phone (865) 270-3178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT12351FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jun 1, 2019 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Jun 1, 2019 Accepting new patients
Kinetic Kids, Inc Past Accepting new patients
Kinetic Kids, Inc. Occupational Therapist Past Accepting new patients

Locations

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178

8234 Highway 100
Nashville, TN 37221
Phone (615) 490-8047

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1003938382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 MONTGOMERY WAY",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675696",
            "telephone_number": "305-904-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152051",
            "telephone_number": "864-244-3626",
            "fax_number": "864-244-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 West Ave",
            "address_2": "#1411",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331394759",
            "country_code": "US",
            "telephone_number": "305-778-9198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIERI",
        "first_name": "MARTHA",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12351",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.