Tracy Manna, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC006701L Issued in PA

Practice address

1 N Belfield Ave
Havertown, PA 19083-4904

Phone

(610) 449-1600

NPI assigned

Dec 5, 2006

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 4

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1508924119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N BELFIELD AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834904",
            "telephone_number": "610-449-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N BELFIELD AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834904",
            "telephone_number": "610-449-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNA",
        "first_name": "TRACY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006701L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01970635",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2424322",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "971601",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30013765",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Maloney, MA
• Lisa R. Mandell, IBCLC
• Mark F Mangano, MD
• Nicholas Philip Mangano III
• Justin Manhoff, PT, DPT
• Manoa Fire Co
• Liam Mansell
• Michael L Mansi, D.O.
• Nasima R Mansur, MD
• Alan David Markowitz, DMD

• Occupational Therapist in Havertown, PA
• Providers in Havertown, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.