Active NPI
Laura Manilli
- Occupational Therapist
- Melbourne, FL
National Provider Identifier
1184934267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT14357
- Practice address
- 1800 Penn St
12
Melbourne, FL 32901-2643 - Phone
- (321) 768-6800
- Fax
- (321) 768-6858
- NPI assigned
- Oct 7, 2010
- Last updated
- Oct 7, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT14357 | FL | Primary |
Addresses
Primary practice location
1800 Penn St
12
Melbourne, FL 32901-2643
Mailing address
1800 Penn St
12
Melbourne, FL 32901-2643
Phone (321) 768-6800
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 SE Aster LN
Empowerme Rehabilitation Stuart
Stuart, FL 34994-5516
Phone (877) 367-9772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Florida, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Florida, LLC | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Stuart, FL
- NPI 1184257602
-
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1477245892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1184934267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 PENN ST",
"address_2": "12",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012643",
"telephone_number": "321-768-6800",
"fax_number": "321-768-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PENN ST",
"address_2": "12",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012643",
"telephone_number": "321-768-6800",
"fax_number": "321-768-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANILLI",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT14357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.