Lina Maria Manjarres, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

16292 Issued in FL

Practice address

14201 W Sunrise Blvd Ste 107
Sunrise, FL 33323-3207

Phone

(954) 756-2818

NPI assigned

Jan 11, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Adults to Pediatrics Therapy LLC

  • Clinic/Center
  • Sunrise, FL
  • NPI 1114151362
  NPD

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1609384635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SE 2ND ST APT 514",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013672",
            "telephone_number": "786-603-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-756-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJARRES",
        "first_name": "LINA",
        "middle_name": "MARIA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "16292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar A. Malpica, DDS
• Adrian Palor Manalili, PHYSICAL THERAPIST
• Eileen Pamela Marmol Manalo
• Monica M Manasa, MD
• Allison Joy Catbay Manglapuz, MS, CF-SLP
• Dann Paolo Mejia Manluctao
• Marc a Lurie O D P a
• Adina Melinda Marc, OD
• Jeannie Marcelin
• Geraldine Catalan Marcelo

• Occupational Therapy Assistant in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.