Tammy Collette Mannino, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001991 Issued in VA

Practice address

75 Fisher Loop
Maggie Valley, NC 28751-5531

Phone

(828) 566-3002

NPI assigned

Dec 22, 2012

Last updated

Apr 18, 2019By 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 2

Addresses

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": "1356134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1558607333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MONTREAT RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113137",
            "telephone_number": "352-638-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FISHER LOOP",
            "city": "MAGGIE VALLEY",
            "state": "NC",
            "postal_code": "287515531",
            "telephone_number": "828-566-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNINO",
        "first_name": "TAMMY",
        "middle_name": "COLLETTE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-22",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001991",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "2414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Dean Guess, D.D.S.
• Jeffrey Carl Lee, OT
• Lifespan Incorporated
• Maggie Valley Operations LLC
• Maggie Valley Operator LLC (Maggie Valley Health and Rehabilitation Center)
• Mary Dugan Miller, PT
• Kathleen Lance Morgan, M.A. CCC-SLP
• Francis Naffke, P.T.A.
• Diane Ruth Neal
• Dustin Edward Roche

• Occupational Therapy Assistant in Maggie Valley, NC
• Providers in Maggie Valley, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.