Jennifer Manabat, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.010492 Issued in IL

Practice address

1710 Jet Stream Dr Ste 105
Colorado Springs, CO 80921-3937

Phone

(847) 331-4225

NPI assigned

Mar 27, 2014

Last updated

Sep 12, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1598182560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 JET STREAM DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213937",
            "telephone_number": "847-331-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 JET STREAM DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213937",
            "telephone_number": "847-331-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANABAT",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0006800",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.010492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Malyj
• Richard M Malyszek, M.D.
• Amanda Mamah
• Negede M Mammo
• Jessica Lauren Mamula, PMHNP-BC
• Elmar Manafov, M.S., CNIM
• Salena Manaois, MA,LAC,LPC, NCC
• Kaden Mancillas
• John Gregory Mancini, M.D.
• Briana Mancuso

• Occupational Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.