Teresa Manchester

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0000607 Issued in CO

Practice address

551 Kokopelli Blvd Unit B
Fruita, CO 81521-6305

Phone

(970) 858-2572

Fax

(970) 858-8941

NPI assigned

Feb 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lower Valley Hospital Association

  • Behavior Analyst
  • Fruita, CO
  • NPI 1356693840
  NPD (past)
• Lower Valley Hospital Association

  • Anesthesiology Physician
  • Fruita, CO
  • NPI 1609190206
  NPD (past)

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1164988010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI BLVD UNIT B",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216305",
            "telephone_number": "970-858-2572",
            "fax_number": "970-858-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI BLVD UNIT B",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216305",
            "telephone_number": "970-858-2572",
            "fax_number": "970-858-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "0000607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Luke
• Carol Bell Lybrook, D.D.S.
• Scott Douglas Lybrook, D.M.D.
• Megan Lykke, MD
• Eric Makovsky, APN, RN, RXN
• Alireza Mansoorirad, L.AC
• Laura L Mattingley, RPH
• Vanessa R. McClellan, DO
• Sherrie K McCoy, PA
• Mary Suzanne McCutchan, NP

• Pediatric Occupational Therapist in Fruita, CO
• Providers in Fruita, CO by specialty
• Pediatric Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.