Individual provider Active NPI

Manjila Thapa-Panth, OT

  • Occupational Therapist
  • Stamford, CT
National Provider Identifier
1477905339
Registry record updated Jul 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003342 Issued in CT
Practice address
91 Strawberry Hill Ave Apt 1126
Stamford, CT 06902-2743
Phone
(203) 276-0469
NPI assigned
Jul 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003342 CT Primary

Addresses

Primary practice location

91 Strawberry Hill Ave Apt 1126
Stamford, CT 06902-2743

Mailing address

91 Strawberry Hill Ave Apt 1126
Stamford, CT 06902-2743
Phone (203) 276-0469

Other identifiers 1

IdentifierTypeStateIssuer
003342OtherCTSTATE LICENSE

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

LicenseStateTypeSpecialty
003342CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1477905339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 STRAWBERRY HILL AVE APT 1126",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022743",
            "telephone_number": "203-276-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 STRAWBERRY HILL AVE APT 1126",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022743",
            "telephone_number": "203-276-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAPA-PANTH",
        "first_name": "MANJILA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "003342",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; 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.