Active NPI
Mark McManus, M.S., OTR/L
- Contractor
- San Francisco, CA
National Provider Identifier
1083049977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 9994
- Practice address
- 178 Denslowe Dr
San Francisco, CA 94132-2035 - Phone
- (415) 548-0000
- NPI assigned
- Sep 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 9994 | CA | Primary |
Addresses
Primary practice location
178 Denslowe Dr
San Francisco, CA 94132-2035
Mailing address
108 Lehman LN
Mill Valley, CA 94941-3449
Phone (415) 328-7536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Camino Alto
Mill Valley, CA 94941-2956
Phone (732) 886-6202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Health Services, LLC | Current | Accepting new patients | |
| Sand Coast Rehab Physical Therapy Inc | Current | Accepting new patients |
Locations
22995 Mill Creek Dr
Ste A
Laguna Hills, CA 92653
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
Organizations & group practices 2
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.
-
- Physical Therapist
- San Rafael, CA
- NPI 1730680810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1083049977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 LEHMAN LN",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413449",
"telephone_number": "415-328-7536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 DENSLOWE DR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941322035",
"telephone_number": "415-548-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS",
"first_name": "MARK",
"credential": "M.S., OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "9994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.