Active NPI
Jane Sinclair Manaras, OTR/L
- Occupational Therapist
- Groton, CT
National Provider Identifier
1376083097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4636
- Practice address
- 1145 Poquonnock Rd
Groton, CT 06340-4620 - Phone
- (860) 446-3135
- NPI assigned
- Feb 28, 2017
- 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 | 4636 | CT | Primary |
Addresses
Primary practice location
1145 Poquonnock Rd
Groton, CT 06340-4620
Mailing address
11 Breton Dr
Charlestown, RI 02813-2740
Phone (617) 947-0763
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4636 | CT | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1376083097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BRETON DR",
"city": "CHARLESTOWN",
"state": "RI",
"postal_code": "028132740",
"telephone_number": "617-947-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 POQUONNOCK RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063404620",
"telephone_number": "860-446-3135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANARAS",
"first_name": "JANE",
"middle_name": "SINCLAIR",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "4636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.