Active NPI
Martha Manieri, OTRL
- Occupational Therapist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT12351 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | 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.
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- NPI 1376073262
Occupational Therapist
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- NPI 1871072462
Occupational Therapist
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- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
Occupational Therapist
-
- Developmental Disabilities Clinic/Center
- Miami, FL
- NPI 1528323292
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.