Active NPI
Barbara Mandrisch, OT
- Occupational Therapist
- Fort Lauderdale, FL
National Provider Identifier
1073282109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22332
- Practice address
- 1458 SW 19TH Ave
Fort Lauderdale, FL 33312-4172 - Phone
- (305) 761-5139
- NPI assigned
- Sep 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22332 | FL | Primary |
Addresses
Primary practice location
1458 SW 19TH Ave
Fort Lauderdale, FL 33312-4172
Mailing address
1458 SW 19TH Ave
Fort Lauderdale, FL 33312-4172
Phone (305) 761-5139
Other practice location 1
13155 SW 134th St Ste 207
Miami, FL 33186-4488
Phone (305) 761-5139
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://login.centralreach.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5162 Linton Blvd
Suite 106
Delray Beach, FL 33484-6567
Phone (561) 336-0110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22332 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lymphedema Therapy Specialists Inc | Occupational Therapist | Current | Accepting new patients |
Locations
5162 Linton Blvd
Ste 106
Delray Beach, FL 33484
Phone (561) 336-0110
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.
-
- Occupational Therapist
- Delray Beach, FL
- NPI 1649625302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1073282109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1458 SW 19TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333124172",
"telephone_number": "305-761-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1458 SW 19TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333124172",
"telephone_number": "305-761-5139"
}
],
"practiceLocations": [
{
"address_1": "13155 SW 134th St Ste 207",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331864488",
"country_code": "US",
"telephone_number": "305-761-5139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDRISCH",
"first_name": "BARBARA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-11",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "22332",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://login.centralreach.com/",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13155 SW 134th St Ste 207",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331864488",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.