Individual provider Active NPI

Sarah Manning, OTR/L

  • Occupational Therapist
  • Tampa, FL
National Provider Identifier
1053677658
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15156 Issued in FL
Practice address
2221 Green Oaks LN
Tampa, FL 33612-1827
Phone
(321) 689-0624
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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 OT15156 FL Primary

Addresses

Primary practice location

2221 Green Oaks LN
Tampa, FL 33612-1827

Mailing address

2221 Green Oaks LN
Tampa, FL 33612-1827
Phone (321) 689-0624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002000249 FL Practitioner - Occupational Therapist in Private Practice 5496286429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT15156FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Rehabilitation PLLC Occupational Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

755 Monroe Rd
Unit 470738
Lake Monroe, FL 32747
Phone (678) 469-5003

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1053677658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 GREEN OAKS LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336121827",
            "telephone_number": "321-689-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 GREEN OAKS LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336121827",
            "telephone_number": "321-689-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "SARAH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.