Stephanie Renea Mann, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR970 Issued in AR

Practice address

714 W Grove St
El Dorado, AR 71730-4416

Phone

(870) 863-8194

NPI assigned

Jun 22, 2007

Last updated

Nov 6, 2023By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1497951800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W ELM ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305278",
            "telephone_number": "870-918-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-863-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "STEPHANIE",
        "middle_name": "RENEA",
        "name_prefix": "Miss",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS",
            "identifier": "5X392",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica H Mack, DNP, APRN, AGACNP-BC
• Monica Lynn Mack, PHARMD
• Levi Nathaniel Maggard, CRNA
• Wendi Makus
• Crystle Syon'Tze Malone, MS, PBSS
• Denika Martin
• Jennifer Lynn Martin, MSPT
• Kerri Leigh Marx
• Gregg L Massanelli, M.D.
• Damaris Maxfield, CADC

• Occupational Therapist in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.