Active NPI
Andrew Shane McMann, OTR/L
- Occupational Therapist
- Liberal, KS
National Provider Identifier
1639553910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 444409
- Practice address
- 1501 S Holly Dr
Liberal, KS 67901-2156 - Phone
- (620) 624-0130
- NPI assigned
- Jul 16, 2015
- Last updated
- Mar 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 000932 | IA | |
| Occupational Therapist | 225X00000X | 444409 | KS | Primary |
Addresses
Primary practice location
1501 S Holly Dr
Liberal, KS 67901-2156
Mailing address
PO Box 31
Liberal, KS 67905-0031
Phone (319) 784-7736
Other practice location 1
4560 SE International Way
Suite 101
Milwaukie, OR 97222-4628
Phone (971) 206-2314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2901 Cedar St
Norwalk, IA 50211-9736
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 444409 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab OT Ia LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 1
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.
-
- Occupational Therapist
- Norwalk, IA
- NPI 1073274585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1639553910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679050031",
"telephone_number": "319-784-7736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S HOLLY DR",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679012156",
"telephone_number": "620-624-0130"
}
],
"practiceLocations": [
{
"address_1": "4560 SE International Way",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Milwaukie",
"state": "OR",
"postal_code": "972224628",
"country_code": "US",
"telephone_number": "971-206-2314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMANN",
"first_name": "ANDREW",
"middle_name": "SHANE",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IA",
"license": "000932",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "444409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberal, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.