Jolina Lyn Manchester, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3780 Issued in AR

Practice address

2510 W Hudson Rd
Rogers, AR 72756-2072

Phone

(479) 936-1061

Fax

(855) 812-1132

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jolina Lyn Warren Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Regional Therapy Services, Inc.

  • Speech-Language Pathologist
  • Rogers, AR
  • NPI 1356313340
  NPD
• Regional Therapy Services, Inc.

  • Counselor
  • Rogers, AR
  • NPI 1437716701
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1093173221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GREER ST",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727513104",
            "telephone_number": "714-606-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W HUDSON RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562072",
            "telephone_number": "479-936-1061",
            "fax_number": "855-812-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "JOLINA",
        "middle_name": "LYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3780",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT14727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLINA",
            "last_name": "WARREN",
            "middle_name": "LYN",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lacey Mainer
• Alyssa Celeste Maisto
• Isaac B Majors, MD
• Momina Makin
• Rebecca Lynn Maloney, RD, LD
• Erin Elizabeth Mangum, PHARMD
• Elizabeth R Mann
• Kallie W. Mann, OTR
• Jennifer M Manos, APRN
• Joseph Harold Manthe III, PT, ATC

• Occupational Therapist in Rogers, AR
• Providers in Rogers, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.