Amanda Rashella Mangas, MOT, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007130 Issued in MI

Practice address

49664 Gratiot Ave
Chesterfield, MI 48051-2526

Phone

(586) 435-6942

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By 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 names 1

• Mrs. Amanda Rashella Agacinski Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Center for Therapeutic Learning and Communication, PLLC

  dba Center for TLC

  • Rehabilitation Clinic/Center
  • Chesterfield, MI
  • NPI 1699966341
  Medicare reassignment

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1417148222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49664 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512526",
            "telephone_number": "586-435-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49664 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512526",
            "telephone_number": "586-435-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAS",
        "first_name": "AMANDA",
        "middle_name": "RASHELLA",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "AGACINSKI",
            "middle_name": "RASHELLA",
            "prefix": "MRS.",
            "credential": "AMANDA MANGAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorelai Mallia
• Katrina Mallory
• Jordan Malos
• Cheyenne Malpress
• Katherine R Manettas, BCBA
• Aurora Mann
• Charnelle Mann
• Shandra Ann Manninen
• Jennifer Lynn Manning, A.T.,C
• Katie Manning

• Occupational Therapist in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.