Grace Henson Manabat, OTR/L

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4429 Issued in WA

Practice address

2522 131St PL SE
Everett, WA 98208-7104

Phone

(425) 773-4445

NPI assigned

Dec 3, 2012

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

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1306181391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 131ST PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087104",
            "telephone_number": "425-773-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 131ST PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087104",
            "telephone_number": "425-773-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANABAT",
        "first_name": "GRACE",
        "middle_name": "HENSON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Malm, PA
• Tyra L Malmborg Okelley, PT
• Jessica Nichole Adline Malone, AA, PEER
• Dana Mam, PHARMD
• Neil Mamaril
• Gail A Manahan, MA, LMHC
• Rimple Manan, M.D.
• Karla Mancero
• Rebecca Y. Mandell, M.D.
• Kelly Mandella, RDH

• Skilled Nursing Facility in Everett, WA
• Providers in Everett, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.