Individual provider Active NPI

Carol Keren Mankes

  • Occupational Therapist
  • Hollywood, FL
National Provider Identifier
1043331325
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9974 Issued in FL
Practice address
4938 Sarazen Dr
Hollywood, FL 33021-2266
Phone
(786) 280-9300
Fax
(954) 986-7498
NPI assigned
Apr 3, 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 OT9974 FL Primary

Addresses

Primary practice location

4938 Sarazen Dr
Hollywood, FL 33021-2266

Mailing address

4938 Sarazen Dr
Hollywood, FL 33021-2266
Phone (786) 280-9300

Other identifiers 1

IdentifierTypeStateIssuer
Z2721OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT9974FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mankes Pediatric Therapy Services, Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043331325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 SARAZEN DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212266",
            "telephone_number": "786-280-9300",
            "fax_number": "954-986-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4938 SARAZEN DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212266",
            "telephone_number": "786-280-9300",
            "fax_number": "954-986-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKES",
        "first_name": "CAROL",
        "middle_name": "KEREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z2721",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.