Connie Sue Manion

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA10219 Issued in FL

Practice address

1707 Park Meadows Dr
Apt. 4
Fort Myers, FL 33907-3768

Phone

(239) 689-1320

NPI assigned

Aug 23, 2009

Last updated

Aug 23, 2009By the provider in NPPES

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

Other identifiers 1

Other names 1

• Connie Sue Manion Other name

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": "1250985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250985600000",
    "number": "1396977492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 PARK MEADOWS DR",
            "address_2": "APT. 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073768",
            "telephone_number": "239-689-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 PARK MEADOWS DR",
            "address_2": "APT. 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073768",
            "telephone_number": "239-689-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANION",
        "first_name": "CONNIE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-23",
        "last_updated": "2009-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA10219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OTA10219",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "MANION",
            "middle_name": "SUE",
            "credential": "COTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Shant John Manoushagian, M.D.

• Occupational Therapy Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2009; 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.