Individual provider Active NPI

Ian Michael Macmanus, OTR/L

  • Occupational Therapist
  • Huntington, NY
National Provider Identifier
1598918252
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
012234-1 Issued in NY
Practice address
28 Briarwood Dr
Huntington, NY 11743-4138
Phone
(516) 729-1352
NPI assigned
Oct 28, 2008
Last updated
Mar 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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 012234-1 NY Primary

Addresses

Primary practice location

28 Briarwood Dr
Huntington, NY 11743-4138

Mailing address

28 Briarwood Dr
Huntington, NY 11743-4138
Phone (516) 729-1352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119000177 NY Practitioner - Occupational Therapist in Private Practice 5698034635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macmanus Therapy OT PCGroup PAC ID 8022377118, 2 clinicians

Practice addresses (Care Compare)

158 E Main St
Suite 4
Huntington, NY 11743-2988
Phone (631) 460-3630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Macmanus Therapies Inc. Current Accepting new patients
Macmanus Therapy, OT, P.C. CurrentSince May 1, 2017 Accepting new patients

Locations

158 E Main St
Ste 4
Huntington, NY 11743
Phone (516) 729-1352

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1598918252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BRIARWOOD DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434138",
            "telephone_number": "516-729-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BRIARWOOD DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434138",
            "telephone_number": "516-729-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMANUS",
        "first_name": "IAN",
        "middle_name": "MICHAEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012234-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.