Active NPI
Patrick Maness, MSOT
- Occupational Therapist
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT21001
- Practice address
- 1729 NW Saint Lucie West Blvd # 1141
Port Saint Lucie, FL 34986-2501 - Phone
- (772) 206-0629
- Fax
- (949) 437-3168
- NPI assigned
- May 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT21001 | FL | Primary |
Addresses
Primary practice location
1729 NW Saint Lucie West Blvd # 1141
Port Saint Lucie, FL 34986-2501
Mailing address
1729 NW Saint Lucie West Blvd # 1141
Port Saint Lucie, FL 34986-2501
Phone (772) 206-0629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120071300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1729 NW Saint Lucie W Blvd
Suite 1141
Port St Lucie, FL 34986-2501
Phone (561) 802-8074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT21001 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Maness Holding Company LLC | Current | Accepting new patients |
Locations
1729 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (386) 264-4899
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Port Saint Lucie, FL
- NPI 1609535145
-
- Physical Therapist
- Coral Gables, FL
- NPI 1871972653
Occupational Therapist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1619404787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 NW SAINT LUCIE WEST BLVD # 1141",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349862501",
"telephone_number": "772-206-0629",
"fax_number": "949-437-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 NW SAINT LUCIE WEST BLVD # 1141",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349862501",
"telephone_number": "772-206-0629",
"fax_number": "949-437-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANESS",
"first_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MSOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-18",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT21001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120071300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.