Individual provider Active NPI

Linda Manasco, OTR/L

  • Occupational Therapist
  • Birmingham, AL
National Provider Identifier
1568648038
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0761 Issued in AL
Practice address
117 Gemini Cir
Suite 407
Birmingham, AL 35209-5874
Phone
(205) 313-2800
Fax
(205) 313-2801
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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 0761 AL Primary

Addresses

Primary practice location

117 Gemini Cir
Suite 407
Birmingham, AL 35209-5874

Mailing address

117 Gemini Cir
Suite 407
Birmingham, AL 35209-5874
Phone (205) 313-2800

Other identifiers 1

IdentifierTypeStateIssuer
991187OtherALAOTCB

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1568648038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GEMINI CIR",
            "address_2": "SUITE 407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095874",
            "telephone_number": "205-313-2800",
            "fax_number": "205-313-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GEMINI CIR",
            "address_2": "SUITE 407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095874",
            "telephone_number": "205-313-2800",
            "fax_number": "205-313-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASCO",
        "first_name": "LINDA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "0761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOTCB",
            "identifier": "991187",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.