Alicia B Mantz, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6643 Issued in FL

Practice address

662 SE 47TH Loop
Ocala, FL 34480-4774

Phone

(352) 572-0187

NPI assigned

Jan 23, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Giving Tree-Speech, Language & Reading SVS, Inc.

  • Speech-Language Pathologist
  • Ocala, FL
  • NPI 1417002726
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528113487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 SE 47TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344804774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 SE 47TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344804774",
            "telephone_number": "352-572-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTZ",
        "first_name": "ALICIA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "6643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE GRP",
            "identifier": "229580",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "S2409",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Castro Mano
• McKenzie Layne Manresa, PA-C
• Kyle Richard Manscuk, PA
• Angie Manseau, SA-C
• Christopher James Manseau, MD
• Manuel C.Ferreira MD PA
• Shannon Marie Manydeeds, PTA
• Marc J. Dilorenzo M.D., P.a.
• Maritza Marcano, LMT
• Domenica Marcantonio, MD

• Speech-Language Pathologist in Ocala, FL
• Providers in Ocala, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.