Active NPI
Marla Mandujano
- Occupational Therapist
- Staunton, VA
National Provider Identifier
1346613080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 100 New Hope Rd
Staunton, VA 24401-4406 - Phone
- (540) 332-9000
- NPI assigned
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
100 New Hope Rd
Staunton, VA 24401-4406
Mailing address
PO Box 2069
Staunton, VA 24402-2069
Phone (540) 332-9006
Other practice location 1
7448 Woodbury Pike
Roaring Spring, PA 16673-1600
Phone (814) 224-5566
Other names 1
- Marla Beck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Care Health Systems Inc | Past | Accepting new patients | |
| Virginia School for the Deaf and the Blind | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Staunton, VA
- NPI 1053461251
-
- Physical Therapy Clinic/Center
- Altoona, PA
- NPI 1205821238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1346613080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2069",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244022069",
"telephone_number": "540-332-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NEW HOPE RD",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244014406",
"telephone_number": "540-332-9000"
}
],
"practiceLocations": [
{
"address_1": "7448 Woodbury Pike",
"address_purpose": "LOCATION",
"city": "Roaring Spring",
"state": "PA",
"postal_code": "166731600",
"country_code": "US",
"telephone_number": "814-224-5566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDUJANO",
"first_name": "MARLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLA",
"last_name": "BECK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.