Individual provider Active NPI

Deborah F. Manni, O.T.

  • Occupational Therapist
  • Amery, WI
National Provider Identifier
1013057124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4127 Issued in WI
Practice address
220 Keller Ave N
Amery, WI 54001-1036
Phone
(715) 268-1001
Fax
(715) 268-1002
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4127 WI Primary

Addresses

Primary practice location

220 Keller Ave N
Amery, WI 54001-1036

Mailing address

220 Keller Ave N
Amery, WI 54001-1036
Phone (715) 268-1001

Other identifiers 1

IdentifierTypeStateIssuer
4127OtherWISTATE LICENSE

Other names 1

  • Deborah F. Tollefson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140312001002 WI Practitioner - Occupational Therapist in Private Practice 8921238023 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4127WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amery Regional Medical Center, Inc. CurrentSince Dec 27, 2025 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 1, 2014 Accepting new patients

Locations

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

220 Keller Ave N
Amery, WI 54001
Phone (715) 268-1001

Organizations & group practices 3

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013057124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 KELLER AVE N",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011036",
            "telephone_number": "715-268-1001",
            "fax_number": "715-268-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KELLER AVE N",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011036",
            "telephone_number": "715-268-1001",
            "fax_number": "715-268-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNI",
        "first_name": "DEBORAH",
        "middle_name": "F.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4127",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "TOLLEFSON",
            "middle_name": "F.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amery, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.