Susan J. Mancuso, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000379 Issued in CT

Practice address

150 Mansfield Ave
Willimantic, CT 06226-2026

Phone

(860) 456-2232

Fax

(860) 456-2256

NPI assigned

Dec 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1356586945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "address_2": "ATTN CREDENTIALING DEPT",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041714",
            "telephone_number": "203-740-0020",
            "fax_number": "203-775-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262026",
            "telephone_number": "860-456-2232",
            "fax_number": "860-456-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "SUSAN",
        "middle_name": "J.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "000379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1114979226",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Lyon, LCSW
• Vincent I. Macandrew Jr., M.D.
• Gina K Maccarone, RN
• Shona K Maddocks, LCSW
• Bernice V Malachi
• Matthew E Mannarino, LCSW
• Mansfield Cardiovascular Care LLC
• Jacqueline Mary Manthous
• Ruth E. Marcial, PSY. D.
• Yabneel Marrero-Canales, LCSW

• Occupational Therapist in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.