Individual provider Active NPI

Mark McManus, M.S., OTR/L

  • Contractor
  • San Francisco, CA
National Provider Identifier
1083049977
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
9994 Issued in CA
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

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180427001606 CA Practitioner - Occupational Therapist in Private Practice 9032473053 Reassigns benefits to 2 organizations

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
Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

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

OrganizationSpecialtyStatusNew patients
Village Health Services, LLC CurrentSince Mar 1, 2023 Accepting new patients
Sand Coast Rehab Physical Therapy Inc CurrentSince Sep 1, 2025 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.

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.

Verify at the official NPI Registry.